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一个共同设计的概念模型,用于在新加坡为社区居住的老年人实施防摔计划:一种系统思维方法
Vanessa Jean Wen Koh1,2, David Bruce Matchar1,3, Abhijit Visaria2
1Programme in Health Services and Systems Research, Duke-NUS Medical School, Singapore, SG 169857, Singapore.
Age and ageing
|February 20, 2025
概括
实施社区防摔计划面临挑战. 一个概念模型确定了资源,参与,感知价值和社会支持等关键因素,以指导新加坡的国家布预防框架.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于社区的防摔计划面临着重大实施障碍.
- 了解决定因素的复杂相互作用对于成功的程序交付至关重要.
- 新加坡试图开发一个统一的模型,以有效地实施这些计划.
研究的目的:
- 开发一个共同的概念模型,用于社区防摔计划的实施动态.
- 确定影响新加坡成功实施这些倡议的关键因素.
主要方法:
- 与31个多学科的利益相关者一起进行了一天的团队建模研讨会.
- 参与者包括医疗保健专业人员,社区组织代表,研究人员和政策制定者.
- 开发了一个因果循环图来可视化实施决定因素.
主要成果:
- 确定了影响计划供需的关键决定因素.
- 出现了四个主要主题:结构因素,参与者的意愿/能力,感知价值 (成本/收益) 和社会支持/自我效能.
- 突出了两个组织行为",增长的极限"和"侵蚀目标",并探索了实施策略.
结论:
- 成功开发了一个概念模型,说明了实施社区防摔计划的动态.
- 这种模式为新加坡国家布预防框架的创建提供了信息.
- 该框架是提高方案实施效率的优先行动.
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