避孕护理的冠军:从全州避孕准入计划中吸取的经验教训
Katharine O White1, Natasha M Lerner2, Lillian W Acton2
1Boston University Chobanian & Avedisian School of Medicine, 72 E Concord St, Boston, MA 02118, USA; Boston Medical Center, 1 Boston Medical Center Place, Boston, MA 02118, USA.
Contraception
|December 29, 2025
概括
避孕选择和知识合作伙伴 (PICCK) 计划使用了冠军模型来改善避孕的获取和质量. 这种方法有效地将外部资源与机构知识相结合,突出了未来举措的关键促进者和障碍.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 生殖健康 生殖健康
背景情况:
- 避孕选择和知识合作伙伴 (PICCK) 计划旨在提高马萨诸塞州医院的避孕准入和质量.
- 采用了冠军模式,在每个医院内吸引了致力于个人的个人来定制和实施PICCK倡议.
研究的目的:
- 确定在采用定制PICCK倡议时遇到的促进者和障碍.
- 探索冠军模式在实施公共卫生计划中的有效性.
主要方法:
- 在13家医院与26名冠军进行了17次半结构面试.
- 使用实施研究综合框架 (CFIR) 进行面试指导.
- 在专业转录的采访中采用了感应和演的主题分析.
主要成果:
- 在所有五个CFIR领域中确定了促进者和障碍者.
- 新兴的主题包括内部/外部因素的相互作用,冠军的自我效能,项目-医院对齐,以及不同意愿的变化.
结论:
- 皮克计划成功地使用了基于证据的策略和冠军模式来改善避孕护理.
- 冠军的方法有效地整合了外部资源与机构能力.
- 学到的经验教训为未来的全州倡议提供了宝贵的见解,旨在扩大避孕措施的获取.
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