探讨在初级保健中潜在实施决策工具功能独立性的障碍和促进因素
E A L M Molenaar1,2, J A Barten3,4, N Bleijenberg5,6
1Research Group Innovation of Human Movement Care, Research Center for Healthy and Sustainable Living, HU University of Applied Sciences Utrecht, Utrecht, The Netherlands. esther.molenaar@hu.nl.
BMC health services research
|July 2, 2025
概括
实施功能独立决策支持工具 (DST-FI) 可以改善照顾老年人的医疗保健专业人员之间的合作. 关键障碍包括客户适用性,时间,所有权和外展,需要定制策略来成功融入初级保健.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 实施科学 实施科学
背景情况:
- 人口老龄化需要有效的策略来维持老年人的功能独立性.
- 功能独立决策支持工具 (DST-FI) 是为了识别功能下降和促进跨专业合作而开发的.
- DST-FI旨在通过涉及全科医生,理疗师,护士和社会工作者来弥合医疗和社会护理.
研究的目的:
- 检查在初级保健机构中实施DST-FI的障碍和促进因素.
- 了解医疗保健专业人员和老年人对DST-FI实施的看法.
- 确定影响DST-FI在日常实践中成功采用的因素.
主要方法:
- 在荷兰进行的一项研究,涉及13名医疗保健专业人员和两个重点小组的老年人.
- 利用实施研究综合框架 (CFIR) 作为研究指导.
- 采用混合的演和归纳主题分析来确定实施因素.
主要成果:
- 促进者包括DST-FI的潜力,以加强合作,支持决策,并解决与衰老相关的社会压力.
- 确定的障碍包括对特定客户群体 (认知障碍,低健康素养),时间限制,利益相关者所有权问题和预防性外展挑战的有限适用性.
- 指出了该工具在全科医生,理疗师,护士和社会工作者之间进行专业间合作的潜力.
结论:
- 成功实施DST-FI需要多方面的和量身定制的策略来解决已识别的障碍.
- 未来的研究应该专注于定制方法,适应不同人群,并为DST-FI应用定义最佳的专业角色.
- DST-FI具有显著的潜力,可以改善专业间的合作,并应对老龄化人口的初级保健中的社会挑战.
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