随着时间的推移,NASSSS (非采用,放弃,扩大,扩散和可持续性) 框架的使用:范围审查
Hwayeon Danielle Shin1,2, Emily Hamovitch1, Evgenia Gatov1
1Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.
PLOS digital health
|March 17, 2025
概括
这次范围审查考察了不采用,放弃,扩大,扩散,可持续性 (NASSS) 框架.
科学领域:
- 实施科学 实施科学
- 卫生技术评估 卫生技术评估
- 数字健康实施方案
背景情况:
- 非采用,放弃,扩大,扩散,可持续性 (NASSS) 框架是评估卫生技术实施的基于证据的工具.
- 缺乏对NASSSS应用程序的系统描述,阻碍了其在实施科学中的进步.
- 其他框架的文献评论以前已经推进了这个领域.
研究的目的:
- 系统地描述NASSS框架在前五年研究中的应用.
- 了解使用NASSS的研究的特点.
- 确定NASSSS如何应用以及从其使用中吸取的教训.
主要方法:
- 根据Joanna Briggs Institute (JBI) 的方法进行了范围审查.
- 在2022年12月20日,在七个主要数据库 (Ovid MEDLINE,EMBASE,PsychINFO,CINAHL,Scopus,Web of Science,LISTA) 进行了搜索.
- 包括的研究使用类型学和框架来分析NASS应用进行了表征.
主要成果:
- 包括57项研究,主要是定性 (n=28) 和混合方法 (n=13).
- 远程医疗/虚拟护理 (n=24) 是研究的最常见的数字应用程序.
- 纳斯斯最常用于数据分析 (n=41) 和解释 (n=39),通常是追溯 (n=33).
- 障碍在组织和采用者系统域中最常见;启用者在价值主张域中最常见.
- 18项研究发现,NASSSS对于理解实施复杂性和上下文是有价值的.
结论:
- 纳斯斯框架是了解医疗技术实施复杂性的宝贵资源.
- 大多数研究都追溯应用了NASSS,这表明需要前性和并发性使用.
- 实施是复杂的,需要仔细准备和更好地报告研究中的NASS应用.
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