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实地观察作为一种指导患者报告结果测量整合在社区癌症中心的方法

Manraj N Kaur¹, Amanda Higgins², Maria O Edelen²

¹Patient-Reported Outcomes and Values, & Experience Center (PROVE), Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA. mkaur17@bwh.harvard.edu.

Implementation science communications

|January 29, 2026

概括

实地观察有效地确定了在社区癌症中心实施患者报告结果 (PRO) 的障碍和促进因素. 这种方法通过将策略定制为特定背景来增强在资源有限的环境中进行PRO集成.

科学领域:

实施科学实施科学
患者报告的研究结果研究结果
医疗保健服务研究医疗服务研究

背景情况:

实地观察是患者报告结果 (PRO) 实施研究中未得到充分利用的一种方法,特别是在资源有限的社区癌症中心 (CCC) 中.
以民族学为基础的现场观测捕捉了实时的临床环境,工作流程,沟通和上下文因素.
这种方法以实施科学框架为指导,如实施研究综合框架 (CFIR),有助于评估组织结构和对变革的准备.

研究的目的:

开发和应用一个结构化的现场观测协议.
在CCC中为特定环境的PRO实施工作流提供信息.
通过改善 PRO 整合来支持乳腺癌护理的提供.

主要方法:

在PRO数据平台集成的预实施阶段,在五个CCC进行了结构化的现场观测.
使用了三个阶段的协议:访问前的规划,研究人员在诊所内的观察,以及访问后的数据处理.
三角化现场笔记,采访 (其他地方报道) 和CFIR指导的分析,以制定特定地点的战略.

主要成果:

确定了各站点之间显著的上下文变化,包括诊所布局,人员配置,患者数量,护理人员的存在和数字素养.
证明了这些变化如何影响PRO收集方法的可行性,需要量身定制的方法 (例如,等待室与提供商促进).
突出了语言多样性,护理人员参与,领导连续性和工作流程清晰度作为实施准备的关键决定因素.

结论:

现场观察对于识别影响CCC中PRO工作流程的现实世界的障碍和促进者至关重要.
这种方法方法增强了生态有效性,利益相关者的参与以及PRO整合的可行性.
将现场观测纳入早期实施规划,加强了研究的严谨性,并支持在资源有限的环境中可持续的,与上下文一致的干预.

关键词:

乳腺癌是什么? 乳腺癌是什么?根据CIFR的规定,我们可以有关决定因素的决定因素现场工作实地工作实施实施实施患者报告的结果网站访问网站访问

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