从创新到实践:影响PAROLE-Onco同行支持计划实施的因素
Yaël Busnel1,2, Férima Sanogo2,3, Monica Iliescu Nelea4,2
1Research on Healthcare Performance (RESHAPE), INSERM U1290, University Lyon 1, Lyon, F-69000, France.
扩大PAROLE-Onco同行支持计划的规模需要解决外部,组织和个人因素. 领导层的承诺,资源和明确的角色是成功将伴随患者 (AP) 纳入瘤护理的关键.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 实施科学 实施科学
背景情况:
- 在PAROLE-Onco计划中,通过陪同患者 (AP) 整合同行支持到瘤治疗中.
- 扩大这个计划面临挑战,尽管有证据表明它有好处.
研究的目的:
- 探索医疗保健专业人员/管理人员对影响PAROLE-Onco计划实施和扩展的因素的看法.
主要方法:
- 一个多个案例研究方法,使用半结构面试和重点小组.
- 使用实施研究综合框架 (CFIR) 和实践变革模型 (PCM) 分析数据.
主要成果:
- 确定的关键因素包括支持政策,可持续融资,组织文化,领导承诺和员工知识.
- 障碍:有限的空间,孤立的结构,时间限制,工作超负荷,对变化的抵抗.
- 促进者:参与的领导力,沟通,以及对APs的明确角色定义.
结论:
- 多层次因素 (领导力,资源,参与) 对于扩大同行支持计划至关重要.
- 考虑到独特的医疗保健环境的定制方法是成功实施的必要条件.
- 洞察力指导优化瘤学中的同行支持,以改善患者护理.
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