多中心金融导航干预的实施挑战:运营过程数据的定性分析
Austin R Waters1,2, Michelle L Manning3, Camille R Murray1
1Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Cancer control : journal of the Moffitt Cancer Center
|January 14, 2026
概括
扩大减少金融毒性影响 (LIFT) 干预措施突出了劳动力和行政障碍. 分析金融导航员的呼叫揭示了成功实施在多站点瘤学环境中的关键挑战和战略.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 瘤学患者支持服务
背景情况:
- 金融导航计划"减轻金融毒性影响" (LIFT) 干预措施最初表现有前途.
- 将LIFT扩展到八个地点的试验引入了在试点阶段没有看到的实施复杂性.
研究的目的:
- 分析影响LIFT金融导航干预措施在多个瘤诊所实施的因素.
- 确定在不同临床环境中部署金融导航服务的挑战和有效策略.
主要方法:
- 使用了一种演-诱导混合定性方法.
- 分析了55次与金融导航员的技术援助和23次同行支持电话.
- 利用实施研究综合框架 (CFIR) 来分类发现.
主要成果:
- 在CFIR领域出现了18个主题和91个子主题,包括劳动力问题,资源限制和导航员的工作量.
- 在外部和内部环境中发现的关键挑战与机构因素和临床基础设施有关.
- 常见的实施策略包括调整内容节奏,重新设计研究,修改传递方法,如电话访问.
结论:
- 在多个瘤诊所实施财务导航带来了重大的劳动力和行政挑战.
- 技术援助和同行支持呼吁为指导实施金融导航干预提供了有价值的数据.
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