• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Family Practice >Feasibility of an implementation strategy for the integration of health promotion in routine primary care: a quantitative process evaluation
【24h】

Feasibility of an implementation strategy for the integration of health promotion in routine primary care: a quantitative process evaluation

机译：将健康促进纳入常规初级保健的实施战略的可行性：定量过程评估

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Process evaluation is recommended to improve the understanding of underlying mechanisms related to clinicians, patients, context and intervention delivery that may impact on trial or program results, feasibility and transferability to practice. The aim of this study was to assess the feasibility of the Prescribe Healthy Life (PVS from the Spanish “ Prescribe Vida Saludable ”) implementation strategy for enhancing the adoption and implementation of an evidence-based health promotion intervention in primary health care. Methods A descriptive study of 2-year implementation indicators for the PVS clinical intervention was conducted in four primary health care centers. A multifaceted collaborative modeling implementation strategy was developed to enhance the integration of a clinical intervention to promote healthy lifestyles into clinical practice. Process indicators were assessed for intervention reach, adoption, implementation, sustainability and their variability at center, practice, and patient levels. Results Mean rates of adoption by means of active collaboration among the three main professional categories (family physicians, nurses and administrative personnel) were 75% in all centers. Just over half of the patients that attended ( n =?11650; 51.9%) were reached in terms of having their lifestyle habits assessed, while more than a third (33.7%; n =?7433) and almost 10% ( n =?2175) received advice or a printed prescription for at least one lifestyle change, respectively. Only 3.7% of the target population received a repeat prescription. These process indicators significantly ( p Conclusions The implementation strategy used showed moderate-to-good performance on process indicators related to adoption, reach, and implementation of the evidence-based healthy lifestyle promotion intervention in the context of routine primary care. Sources of heterogeneity and instability in these indicators may improve our understanding of factors required to attain adequate program adoption and implementation through improved implementation strategies.
机译：背景技术建议进行过程评估，以加深对可能影响试验或计划结果，可行性和实践可移植性的与临床医生，患者，环境和干预措施相关的基本机制的理解。这项研究的目的是评估“规定健康生活”（西班牙语为“ Vida Saludable”规定的PVS）实施策略的可行性，以加强在初级保健中采用和实施循证健康促进干预措施。方法在四个初级卫生保健中心对PVS临床干预的2年实施指标进行描述性研究。开发了多方面的协作建模实施策略，以增强临床干预措施的整合，从而将健康的生活方式推广到临床实践中。评估过程指标的干预范围，采用，实施，可持续性及其在中心，实践和患者层面的可变性。结果在所有中心中，三个主要专业类别（家庭医生，护士和行政人员）之间通过积极协作而采用的平均接受率为75％。就其生活方式习惯进行评估而言，就诊的患者刚好超过一半（n =？11650; 51.9％），而超过三分之一的患者（33.7％; n =？7433）和近10％（n =？ 2175）分别收到关于至少一种生活方式改变的建议或印刷处方。只有3.7％的目标人群接受了重复处方。这些过程指标显着（p结论）所采用的实施策略显示，在常规初级保健的背景下，与基于证据的健康生活方式促进干预措施的采用，达到和实施有关的过程指标具有中等至良好的绩效。这些指标的不稳定性可能会提高我们对通过改进实施策略来实现适当计划采用和实施所需的因素的理解。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号