在菲律宾医疗保健环境中实施科学的务实应用
Lorraine S Evangelista1, Reimund Serafica2, Andrew Thomas Reyes2
1Louise Herrington School of Nursing, Baylor University, Dallas, Texas.
概括
实施科学通过解决当地挑战,为菲律宾适应基于证据的治疗方法. 社区卫生工作者和数字基础设施等关键促进者对于可持续的医疗保健解决方案至关重要.
科学领域:
- 医疗保健 实施 科学 科学
- 卫生系统研究 卫生系统研究
- 全球卫生平等全球卫生平等
背景情况:
- 将基于证据的治疗转化为可持续的医疗保健解决方案至关重要.
- 像菲律宾这样的低收入和中等收入国家在实施医疗保健方面面临着独特的系统,结构和文化挑战.
- 适应实施科学原则是必要的,以克服这些特定背景的障碍.
研究的目的:
- 检查在菲律宾医疗保健机构中实施科学的应用.
- 为了确定在菲律宾成功实施的上下文挑战,障碍和当地促进者.
- 展示三个可适应的实施科学框架的实用性:实施研究综合框架 (C-FIR),覆盖范围,有效性,采用,实施和维护 (RE-AIM) 以及探索,准备,实施和维护 (EPIS).
主要方法:
- 在菲律宾实施科学应用的定性检查.
- 专注于背景因素,包括社区卫生工作者,社会凝聚力和数字基础设施.
- 对C-FIR,RE-AIM和EPIS框架的应用和演示.
主要成果:
- 背景因素显著影响了菲律宾的实施成功.
- 社区卫生工作者,社会凝聚力和数字基础设施成为地方关键促进者.
- 适应性框架 (C-FIR,RE-AIM,EPIS) 为分析实施提供了有价值的结构.
结论:
- 识别和整合当地环境对于有效的实施科学来说是必不可少的,而不是障碍.
- 共同设计,可持续规划和社区参与是菲律宾成功医疗保健发展的基础.
- 实施科学可以弥合证据与实践之间的差距,从而改善健康结果.
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