加强同行辅导和临床审计,以改善尼泊尔基本非传染性疾病 (PEN) 方案的实施:试点实施研究方法
Dipanker Prajapati1,2, Sujata Sapkota3,4, Punya Shori Suwal5
1Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal.
这项研究测试了同行指导和临床审计干预措施,以改善尼泊尔的非传染性疾病护理. 使用的方法可复制,以提高初级医疗保健机构的干预采用和可持续性.
科学领域:
- 公共卫生 公共卫生
- 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:
- 尼泊尔采用了世卫组织关于非传染性疾病干预措施的基本方案,但实施情况仍不理想.
- 初级医疗保健机构在有效提供非传染性疾病 (NCD) 护理方面面临着挑战.
研究的目的:
- 设计,实施和评估干预措施的可行性和初步有效性,以加强对等指导和临床审计机制.
- 改善NCD干预措施在初级医疗保健中的实施和可持续性.
主要方法:
- 一个混合型II实施试验,采用非盲目的,双臂,并行随机对照试验 (RCT) 设计.
- 在Bhaktapur区的17个初级公共卫生设施被随机 (1:1比率) 选择.
- 干预涉及同行指导和临床审计;对照组接受了通常的护理. 在12个月内使用了一种混合方法方法,包括前后评估和专题分析.
主要成果:
- 该研究详细介绍了干预设计,实施和评估的方法.
- 这些发现提供了对同行指导和临床审计在NCD管理中的实际应用的见解.
- 使用混合方法方法评估初步的有效性和实施结果.
结论:
- 开发的工具和方法可以指导策略,以改善NCD干预措施的采用和维持.
- 干预的设计和评估框架为其他环境提供了可复制的模型.
- 这项研究有助于加强对非传染性疾病的初级医疗保健服务.
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