在慢性疼痛治疗中实施临床决策支持工具的组织准备:混合方法评估
Miranda J Reid1, Jyotsna Gutta2, Katy Ellis Hilts2
1Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, United States.
Frontiers in health services
|August 21, 2025
概括
这项研究评估了临床决策支持 (CDS) 工具在慢性疼痛治疗中的准备. 结果显示整体准备度很高,但提供者需要比临床工作人员更多的支持才能成功实施CDS.
科学领域:
- 医疗保健管理
- 卫生信息学
- 治疗疼痛
背景情况:
- 临床决策支持 (CDS) 可以改善慢性疼痛管理.
- 成功实施CDS取决于提供者和工作人员的准备.
- 评估组织的准备对于有效采用技术至关重要.
研究的目的:
- 评估组织对慢性疼痛治疗中的CDS工具的准备.
- 确定实施CDS的潜在障碍和促进因素.
- 为成功采用CDS提供量身定制的战略.
主要方法:
- 混合方法方法结合了组织准备实施变革 (ORIC) 调查和半结构面试.
- 从24名提供者和31名临床工作人员的调查数据进行定量分析.
- 来自7名提供者和3名临床工作人员的采访数据的定性编码.
主要成果:
- 在各个角色和诊所中报告了对CDS工具的高度准备.
- 提供者ORIC得分明显低于临床工作人员.
- 识别了技术素养和优先级等障碍,但认为可以通过支持和培训来克服.
结论:
- 混合方法有效评估准备情况并确定实施需求.
- 对准备较低的诊所和角色提供有针对性的支持至关重要.
- 通过量身定制的策略解决所发现的障碍,有助于利益相关者接受CDS工具.
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