初级保健中的实施研究 (第二部分):如何进行实施研究?
Wen Ting Tong1, Chor Yau Ooi2, Anne Sales3
1Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
概括
本研究详细介绍了对初级保健实施研究的结构化,基于理论的方法. 它强调识别障碍,选择策略和评估可扩展和可持续的医疗保健改进的结果.
科学领域:
- 实施科学 实施科学
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 实施研究对于将基于证据的实践转化为初级保健机构至关重要.
- 要指导复杂的实施过程,需要采用结构化,基于理论的方法.
研究的目的:
- 概述在初级保健中进行实施研究的关键过程.
- 强调选择相关理论,模型和框架的重要性.
- 为有效,可扩展和可持续的实施努力提供结构化的方法.
主要方法:
- 描述了三个核心步骤:确定决定因素,绘制策略和评估结果.
- 强调使用决定性框架 (例如,实施研究综合框架,理论领域框架).
- 提及战略选择 (例如,ERIC分类,行为改变技术分类) 和评估 (例如,Proctor的实施结果,RE-AIM) 的资源.
主要成果:
- 确定实施研究的关键流程,包括决定因素的识别,战略映射和结果评估.
- 展示了各种框架和分类学的实用性,以指导研究阶段.
- 在整个研究过程中强调了利益相关者参与的关键作用.
结论:
- 结构化,理论化的方法提高了初级保健中的实施努力的有效性,可扩展性和可持续性.
- 使用已建立的框架和分类学,有助于系统的规划和评估.
- 持续的利益相关者参与对于成功的实施研究至关重要.
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