实施研究逻辑模型是否适合描述患者门户的真实世界项目中的上下文和实施?
Anne S Löchert1, Jan-David Liebe1, Alexander Alscher2
1Research Centre Health and Social Informatics, Osnabrück University Appl. Sciences, Osnabrück Germany.
Studies in health technology and informatics
|August 8, 2025
概括
实施研究逻辑模型 (IRLM) 有效地描述了医院患者门户项目. 这种方法有助于规划和测试复杂临床干预的未来实施策略.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 医疗信息学 医疗信息学
背景情况:
- 复杂的临床干预需要系统的方法来理解实施背景.
- 实施研究逻辑模型 (IRLM) 提供了一个可视化干预组件及其相互连接的框架.
- 患者门户网站是一个复杂的数字健康干预,具有多方面的实施挑战.
研究的目的:
- 评估IRLM方法论的适用性,用于描述在医院环境中商业患者门户项目实施背景.
- 评估IRLM在现实世界卫生IT项目中捕获决定因素和实施策略的能力.
主要方法:
- 七个项目会议的观察研究.
- 分析会议记录 (30) 和相关文件.
- 追溯分析29个会议记录.
- 与医院和供应商的利益相关者进行了七次半结构面试.
主要成果:
- 在患者门户项目中,所有26个提议的IRLM决定因素都被确定.
- 超过一半 (43/73) 的实施策略与IRLM框架保持一致.
- TOPCOP 分类学有效地捕捉了患者的参与,但缺乏医院后台办公室流程的覆盖.
- 使用IRLM上游视角的分析允许提出因果途径.
结论:
- IRLM是一个合适的工具来描述患者门户的实施过程.
- 调查结果表明,IRLM可以为未来类似项目的规划提供信息.
- IRLM框架有助于在受控研究中测试假设的因果路径.
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