结果 证据必须跟上4M框架的实施,以确保年龄友好的卫生系统转型
James D Harrison1, Stephanie E Rogers1, Benjamin Rosner1
1University of California, San Francisco, CA, USA.
概括
年龄友好医疗系统 (AFHS) 倡议使用4M框架来改善老年人护理. 需要更多的研究才能充分了解4M对健康结果的影响,并确保公平价值.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 基于证据的实践.
背景情况:
- 年龄友好型卫生系统 (AFHS) 运动的目标是为老年人提供可靠的,基于证据的护理.
- 4M框架 (重要的是什么,流动性,培养,药物) 指导AFHS干预,允许实施的灵活性.
- 4M护理已经得到广泛采用,但其影响的证据需要与实施进展保持一致.
研究的目的:
- 为满足日益增长的对4M框架对老年人健康结果影响的强有力的证据需求.
- 探索4M实施中的变化如何最大限度地实现公平价值.
- 提出产生和传播证据以支持AFHS转型的策略.
主要方法:
- 该研究提出了七种策略,以催化证据的产生和传播.
- 这些策略根据医疗机构,研究人员,评估人员和其他利益相关者的角色进行分类.
- 专注于评估4M集体,并了解它们与结果的相互作用.
主要成果:
- 摘要概述了在AFHS中推进研究和评估的框架.
- 它强调需要理解4M的整体影响,而不仅仅是单个组件.
- 拟议的战略旨在弥合4M实施和成果证据之间的差距.
结论:
- 产生和传播强有力的证据对于AFHS的成功转型至关重要.
- 4M框架具有作为改善老年人群健康结果的工具的潜力.
- 进一步的研究和战略传播对于实现4M方法的全部价值至关重要.
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