确定实施需求和制定战略,以优化患者优先护理在初级保健中的整合:两个研究地点的定性形成性评估
Jennifer Arney1,2, Jack Banks2,3, Marcia C Mecca4,5
1Texas A&M Health Science Center, Telehealth Institute, College Station, TX, USA.
实施患者优先护理 (PPC) 需要优化可用性并解决临床医生的担忧. 制定了战略,以加强卫生重点识别 (HPI) 过程,并将PPC纳入初级保健工作流程.
科学领域:
- 医疗实施科学 医疗实施科学
- 主要护理研究的研究.
- 老年医学 老年医学
背景情况:
- 患者优先护理 (PPC) 专注于对多种疾病的老年人重要的结果,与单一疾病的指导方针不同.
- 成功实施PPC取决于网站和用户的特点.
- 一个健康优先级识别 (HPI) 对话通知与患者优先级一致的护理.
研究的目的:
- 对两个实施PPC的初级保健场所进行形成性评估.
- 确定实施需求,并制定优化PPC集成的战略.
主要方法:
- 一个以i-PARIHS框架为指导的形成性评估.
- 来自两个VA医疗保健系统的28名初级保健医生参加了半结构化的电话采访.
- 对面试数据进行主题分析,根据面试数据制定战略.
主要成果:
- 主题1:提高卫生优先事项识别 (HPI) 笔记和PPC流程的可用性,重点关注时间,内容,放置和解决时间负担.
- 主题2:解决临床医师参与的上下文因素,包括领导支持,绩效指标和通过修改培训整合工作流.
结论:
- 形成性评估确定了PPC的关键实施需求.
- 制定了战略,以促进PPC融入常规初级保健.
- 未来的研究将评估采用这些开发的战略.
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