在医疗保健环境中使用实施映射:范围审查
Kym Warhurst1,2, Zephanie Tyack2, Michael Beckmann1,3,4
1Mater Misericordiae Ltd, Brisbane, QLD, Australia.
Frontiers in public health
|July 31, 2025
概括
实施映射是一种结构化的方法,用于改善医疗保健干预措施. 这次审查发现其应用多样化,突出了对标准化和结果评估的需求,以最大限度地发挥其影响.
科学领域:
- 医疗实施科学 医疗实施科学
- 医疗服务研究 医疗服务研究
- 计划计划和评估方案的计划和评估.
背景情况:
- 实施映射是一种基于理论的方法,用于选择和定制实施策略.
- 自2019年以来,它在医疗保健中的使用增加了,但证据合成有限.
- 本综述探讨了实施地图在医疗保健机构的应用和有效性.
研究的目的:
- 通过实施映射方法来探索证据的范围和类型.
- 确定实施映射的共同方法,好处和挑战.
- 为在医疗保健中应用实施地图的未来方向提供信息.
主要方法:
- 在四个数据库 (MEDLINE,Embase,Scopus,CINAHL) 进行了系统搜索.
- 关键词包括"实施映射";补充了引用跟踪和手动搜索.
- 包括报告使用实施映射用于医疗保健计划/实践实施的研究.
主要成果:
- 确定了32个出版物 (29个独特的研究),主要来自美国.
- 应用范围包括慢性病,癌症护理,心理健康和相关健康.
- 关于决定性优先级和战略选择的不一致报告,往往缺乏结果评估.
结论:
- 实施映射为实施规划提供了一个结构化,参与式的方法.
- 它的应用是有价值的,但不一致,需要标准化和加强指导.
- 未来的研究应该评估临床和实施结果,以确定有效性.
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