实施过程中的关键决定因素:使用实施研究综合框架 (CFIR) 进行系统审查
Marin Schmitt1, Maren Hawkins2, Paul Florsheim3
1Zilber College of Public Health, University of Wisconsin-Milwaukee, 1240 N. 10th St., Milwaukee, WI, USA. marins@uwm.edu.
Implementation science communications
|August 22, 2025
概括
这一审查确定了影响卫生计划实施的八个关键因素. 了解这些因素,如领导层的参与和可用的资源,可以改善实施策略和结果.
科学领域:
- 实施科学
- 医疗服务研究
- 公共卫生
背景情况:
- 环境因素对卫生计划的实施产生重大影响.
- 虽然已知许多决定因素,但它们的相对影响需要进一步研究.
- 实施研究综合框架 (CFIR) 提供了评估实施因素的结构.
研究的目的:
- 系统地审查使用Damschroder & Lowery (2013) 评级系统的研究.
- 根据其影响确定实施的关键决定因素.
- 引导制定有效的卫生计划实施策略.
主要方法:
- 在PubMed,Web of Science和Google Scholar中引用Damschroder & Lowery (2013) 的文章的转发引文搜索.
- 包括研究实施因素的大小和价值的文章.
- 使用混合方法评估工具 (MMAT) 进行质量评估.
主要成果:
- 最终审查包括了48篇文章.
- 确定了八个关键决定因素:领导层参与,正式任命的内部实施领导人,兼容性,可用资源,外部变革代理人,冠军,相对优势和关键利益相关者.
结论:
- 确定关键决定因素可以加强实施的系统方法.
- 这些知识有助于研究人员和从业人员成功实施工作.
- 量化决定性影响,尽管细微差别的损失,提供了改善实施结果的实际指导.
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