在加拿大多伦多的一个社区卫生机构实施试点产品处方计划的障碍和促进者
Madison Fach1, Rose Holub1, Camille Machado2
1Department of Human Health Sciences, University of Guelph, Guelph, ON, N1G 2W1, Canada.
BMC primary care
|November 13, 2025
概括
生产处方程序 (PRx) 显示出对粮食安全的承诺. 关键的促进者包括计划整合和营养教育,而障碍则涉及市场设计和沟通差距. 解决这些问题可以提高PRx的有效性.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 全球正在出现产品处方计划 (PRx),以加强粮食安全和促进健康饮食.
- 在多伦多的Unison Health and Community Services实施了一项试点PRx计划,针对面临粮食不安全和慢性疾病风险因素的成年人.
- 这项研究旨在确定社区卫生环境中PRx实施的障碍和促进因素,以优化计划交付和参与者成果.
研究的目的:
- 探索影响试点产品处方 (PRx) 计划实施的障碍和促进因素.
- 为计划改进提供信息,以便更好地与参与者的健康需求和偏好保持一致.
- 为社区卫生中心中扩大PRx计划提供见解.
主要方法:
- 该研究采用了定性方法,包括参与者后续电话,焦点小组和关键信息人采访.
- 数据收集发生在亲自和在线,以确保广泛的可访问性.
- 以实施研究综合框架 (CFIR) 为指导的专题分析被用来确定实施障碍和促进者.
主要成果:
- 发现的障碍包括市场可访问性 (户外/公共设计),临床人员减少以及医疗保健提供者和参与者之间分散的沟通等挑战.
- 促进者包括将PRx试点集成到现有的社区卫生服务中,提供营养教育研讨会,以及以人为中心,可适应的程序交付方法.
- 这些促进者对参与者的推和满意度产生了积极的影响,促进了持续的参与.
结论:
- 基于团队的护理和以人为中心的方法对于适应性和有效的PRx计划实施至关重要.
- 建立强大的转诊途径和沟通道需要在初级保健团队中确定冠军.
- 未来的PRx计划应该考虑结合知识共享和社区建设活动,以解决社会,情感和心理健康需求.
关键词:
障碍物 这些障碍物在CFIR中,CFIR是最重要的.预防慢性疾病 预防慢性疾病社区卫生中心社区卫生中心促进者是指促进者.粮食不安全问题 粮食不安全问题促进健康 促进健康产生处方的处方.社会处方是指社会处方.更多相关视频
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