使用实用,强大的实施和可持续性模型来确定肯塔基州全州糖尿病学习合作的实施决定因素
Aaron J Kruse-Diehr1,2,3, Borsika A Rabin4,5, Jessica Elliott6
1Department of Family and Community Medicine, University of Kentucky College of Medicine, 2195 Harrodsburg Road, Suite 125, Lexington, KY, 40504, USA. kruse-diehr@uky.edu.
BMC health services research
|May 21, 2025
概括
这项研究确定了影响学习协作实施的关键因素,以改善肯塔基州的糖尿病自我管理教育和支持 (DSMES) 推. 制定了战略,以克服障碍,并加强对2型糖尿病患者的DSMES利用.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 肯塔基州的2型糖尿病 (T2D) 患病率很高,免费糖尿病自我管理教育和支持 (DSMES) 的利用不足.
- 学习协作提供了一个有希望的策略,通过促进变化的小测试来改善DSMES推.
- 了解实施决定因素对于优化DSMES利用至关重要.
研究的目的:
- 确定成功学习的决定因素 合作实施,以改善DSMES推.
- 探索合作参与者之间对实施成果的感知进展.
主要方法:
- 与26名参与者进行了半结构面试,分为三个组:诊所工作人员,卫生部门教育工作者和区域推广中心工作人员.
- 采访以实用,稳健实施和可持续性模型 (PRISM) 领域为指导.
- 字面转录使用基于矩阵的方法编码,以确定PRISM领域内的总体主题.
主要成果:
- 在PRISM领域中,与组织视角,患者特征和实施基础设施相关的促进者和障碍物最常见.
- 参与者采用了各种策略和适应措施,以利用优势,在实施过程中减轻障碍.
- 临床工作人员通过使用早晨聚集来实现协作目标来解决基础设施障碍,例如竞争优先事项.
结论:
- 该研究提供了影响学习协作实施的决定因素和用于解决这些问题的策略的背景.
- 结果将为未来队伍的协作和实施策略的改进提供信息.
- 这一框架旨在增加DSMES的转诊率,并增加肯塔基州阿巴拉契亚州T2D患者的参与度.
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