使用AACTT框架绘制供应商和消费者的声音:对事先护理计划的焦点小组研究
Lisa Guccione1,2, Stephanie Best3,4,5, Sonia Fullerton3,4,6
1Department of Health Services Research, Peter MacCallum Cancer Centre, Melbourne, Australia. lisa.guccione@petermac.org.
BMC health services research
|January 21, 2025
概括
行动,参与者,上下文,目标,时间 (AACTT) 框架,当应用于预先护理计划 (ACP) 时,揭示了医疗保健专业人员和消费者之间的不协调. 这种方法有效地识别了以患者为中心的护理障碍.
科学领域:
- 医疗保健系统研究研究
- 医疗服务研究 医疗服务研究
- 患者为中心的护理
背景情况:
- 医疗保健干预需要多层次的系统改进,以弥合证据与实践之间的差距.
- 复杂的干预需要在每个阶段确定特定的角色和行动,以优化.
- 行动,参与者,背景,目标,时间 (AACTT) 框架为定义干预组件提供了一个结构化的方法.
研究的目的:
- 将AACTT框架应用于跨患者旅程的预先护理规划 (ACP).
- 将消费者观点纳入AACTT医疗保健过程分析框架.
- 通过识别护理提供中的对齐和不对齐,使消费者和专业人士的见解变得可操作.
主要方法:
- 为焦点小组招募医疗保健专业人员和消费者.
- 利用AACTT框架指导在现有护理途径中对ACP的讨论.
- 共同创建视觉地图的观点和偏好,通过反和定性编码以AACTT框架反复改进.
主要成果:
- 参与者的观点突出了目前的,缺席的和希望在非洲和非洲的做法.
- 对比显示,医疗保健专业人员和消费者之间存在重大错位,特别是在行为者,背景和时间领域.
- 错误对齐在不一致发生的行为中最为突出,对背景和时间有不同的看法.
结论:
- AACTT框架提供了一种新的方法,可以系统地将消费者的声音纳入医疗保健提供分析中.
- 这种方法有效地识别了传统方法可能忽视的以患者为中心的护理障碍.
- 在复杂的护理途径中指定观点可以提高对护理交付动态的理解.
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