使用RE-AIM框架来了解Pathway Home在医疗保健系统中的影响,影响范围和长期可持续性
Barry Granek1, Pamela Mattel2, Angelo Barberio2
1New York Psychotherapy & Counseling Center, Jamaica, NY, USA.
Health promotion practice
|February 12, 2026
概括
像Pathway Home这样的护理过渡计划可以改善离开机构的人的心理健康和生活质量. 评估RE-AIM (覆盖范围,有效性,采用,实施,维护) 框架显示了实施中的成功和挑战.
科学领域:
- 行为健康 行为健康
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 护理过渡计划显示出改善心理健康结果和生活质量的前景.
- 实施忠实性和跨行为健康系统的覆盖范围需要进一步审查.
- RE-AIM框架为评估计划实施提供了一个结构.
研究的目的:
- 通过RE-AIM框架评估Pathway Home模型,这是一个基于社区的护理过渡计划.
- 评估计划在覆盖范围,有效性,采用,实施和维护方面的表现.
- 确定运营成功,实施障碍和需要改进的领域.
主要方法:
- 将RE-AIM框架应用于"回家之路"模式.
- 使用多个数据源,包括程序数据和先前的评估.
- 检查RE-AIM框架的五个维度中的绩效.
主要成果:
- "路径之家"成功地覆盖了需要帮助的人群,并降低了重新入院的风险.
- 该计划通过将个人与行为健康,初级保健和社会支持联系起来,提高了护理的连续性.
- 灵活的设计有助于复制和扩展到不同的环境.
结论:
- 路径之家在关键过渡期间支持个人的有效性得到了证明.
- 长期的财务可持续性,劳动力保留和系统集成仍然存在挑战.
- 适应性模型和跨部门合作伙伴关系对于维持以人为中心的护理转型至关重要.
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