开发和实施一个新的模式,支持研究市政医疗保健 - - 一个定性研究
Maria Bjerk1, Oddvar Førland2, Lars Bergersen3
1Division of Health Services, Norwegian Institute of Public Health, Oslo, Norway.
Frontiers in health services
|December 29, 2025
概括
在市医疗保健中实施研究支持模型有助于基于证据的实践. 挑战包括资源和复杂的问题,但承诺和协作促进其用于更好的决策.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 基于证据的实践.
背景情况:
- 基于证据的健康和社会护理实践 (EBP) 受到服务分散,技术限制,劳动力短缺,文化阻力,资源限制以及学术界和实践差距的挑战.
- 本研究重点是为市卫生保健决策者开发和实施研究支持模型.
研究的目的:
- 为研究支持模型的开发和实施提供新的见解.
- 了解利益相关者的经验与模型的创建和推出.
主要方法:
- 使用会议记录和评估表格进行定性设计 (2021年1月至2024年1月).
- 使用实施研究综合框架 (CFIR) 编码和绘制文本数据的专题分析.
主要成果:
- 利益相关者认为需要一个支持模型来帮助研究应用在优先级,规划和决策.
- 障碍包括复杂的研究问题,缺乏结构,资金,能力和激励,以及传播挑战.
- 促进因素包括政治/行政承诺,普通语言研究结果,协作学习和结构化的市政-学术伙伴关系.
结论:
- 研究支持模型可以增强市政医疗保健中的基于证据的决策,特别是通过系统审查.
- 模型的实施是资源密集型的,需要大量的时间和来自市政当局和研究机构的人员.
- 需要进一步的研究来评估该模型在改善市政决策和患者护理方面的有效性.
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