为中风患者提供基于注册表的定制后续服务干预的共同设计:多种方法共识方法
Tara Purvis1, Andrew G Ross2,3, Jannette M Blennerhassett4
1Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.
概括
这项研究共同设计了一项新的基于医院的随访服务,用于经历重大健康挑战的中风幸存者. 患者和临床医生的投入指导了这种基于注册表的干预措施的发展,以改善中风后的护理.
科学领域:
- 脑卒中康复治疗 脑卒中康复治疗
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果
背景情况:
- 脑卒中后的康复通常涉及持续的健康挑战,影响生活质量.
- 患者报告的结果凸显了中风后有针对性的支持服务的需要.
- 澳大利亚中风临床注册中心收集了有关患者经验的宝贵数据.
研究的目的:
- 共同设计一个基于注册的,由医院发起的后续服务.
- 该服务旨在支持报告重大健康挑战的个人在中风后90-180天.
- 让利益相关者,包括中风幸存者,参与设计过程.
主要方法:
- 从2022年5月到2023年3月使用代的,基于共识的共同设计方法.
- 参与了各种各样的利益相关者:临床医生,研究人员和经历过中风的人.
- 员工调查,共识会议,采访和试点测试,以改进干预.
主要成果:
- 范围调查表明需要广泛的包容性标准和护理人员参与.
- 达成共识的会议和德尔菲调查完善了资格,临床方案和培训材料.
- 试点测试为进一步修改提供了反,在建议上达成了高度一致.
结论:
- 一个代的,基于共识的共同设计过程成功开发了一种基于注册表的新型后续服务.
- 这项干预旨在针对具有重大健康挑战的中风幸存者.
- 作为下一步,计划进行可行性随机对照试验.
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