评估医疗保健扩展计划的方法考虑:方法审查
Bastiaan Van Grootven1,2, Serena Sibilio1, Nereide Curreri3
1Nursing Science, Department of Public Health, University of Basel, Basel, Switzerland.
评估医疗干预措施的扩展需要纵向,自适应和混合方法设计. 扩展成功的关键维度包括覆盖范围,覆盖范围,有效性和制度化,受成本,采用,忠诚度和适应的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 公共卫生干预 公共卫生干预
背景情况:
- 实现持续的人口健康水平的改善,需要有效的干预措施扩大规模.
- 扩大规模涉及将基于证据的干预措施纳入常规实践和政策.
- 评估医疗保健干预扩大规模的成功提出了独特的方法挑战.
研究的目的:
- 对评估基于证据的医疗保健干预措施的扩大规模进行方法审查.
- 确定适当的研究设计,结果,措施,以及扩大规模评估的关键方法考虑.
- 提出一个概念化扩大规模的成功.
主要方法:
- 进行了相关文献的方法审查.
- 搜索包括数据库,手动搜索期刊和选参考.
- 为了分析发现,进行了包含的研究的叙事综合.
主要成果:
- 扩大规模前的考虑包括证据评估,程序理论开发和上下文分析.
- 扩大规模的评估领域包括采用,覆盖范围,覆盖范围,制度化和成本.
- 建议的设计主要是非实验性的 (前后,时间序列),采用混合方法方法来捕捉实施动态.
结论:
- 纵向,自适应和混合方法设计对于评估现实世界的实施动态至关重要.
- 扩大规模的成功是通过覆盖范围,覆盖范围,有效性和制度化来概念化.
- 这些维度受到成本,采用,忠诚度和适应等因素的影响.
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