SHINE - - 针对成人和老年人的社会处方:有效实施的道路. 一个研究协议
Jeanette Wassar Kirk1,2, Lisa Suvarna Oldrup3, Mette Bendtz Lindstrøm3
1Department of Clinical Research, Copenhagen University Hospital, Amager and Hvidovre, Hvidovre, 2650, Denmark. jeanette.wassar.kirk@regionh.dk.
这项研究介绍了丹麦的社会处方,以打击孤独和改善福祉. 它评估了一种新模式,将链接工作者纳入社会脆弱成年人的初级护理.
科学领域:
- 公共卫生 公共卫生
- 医疗保健 实施 科学 科学
- 健康的社会决定因素
背景情况:
- 社会处方将医疗保健与社区资源联系起来,以解决孤独等健康的社会决定因素.
- 丹麦的社会处方发展不足,需要有系统的实施模式.
- 维斯特布罗-西达文恩项目开创了一种在丹麦的税收资助系统中嵌入一般实践的社会处方模型.
研究的目的:
- 评估丹麦新型社会处方模式的有效性和实施情况.
- 减少孤独感,提高社会脆弱的成年人的幸福感.
- 调查链接工作者在初级保健途径中的整合情况.
主要方法:
- 一个混合型II有效性实施设计,使用混合方法.
- 量化准实验性研究,评估350名个体的医疗保健使用情况和患者报告的结果 (孤独感,生活质量).
- 定性方法包括民族学实地研究,采访和现实评估,以探索实施.
主要成果:
- 该研究正在进行中,有效性评估以前性方式注册.
- 混合型II设计允许同时评估临床和实施结果.
- 专注于链接工作者角色,跨部门合作和组织准备.
结论:
- 这项研究解决了在初级保健中实施复杂,社会嵌入式干预措施的关键差距.
- 调查结果将为丹麦社会处方的扩大提供信息.
- 提供可转移的见解,用于在不同的医疗保健系统中实施以人为中心,以公平为导向的干预措施.
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