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首页> 外文期刊>BMC Family Practice >Process evaluation of a cluster randomised intervention in Swedish primary care: using care managers in collaborative care to improve care quality for patients with depression
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Process evaluation of a cluster randomised intervention in Swedish primary care: using care managers in collaborative care to improve care quality for patients with depression

机译：瑞典初级保健中的一组随机干预措施的过程评估：在协作护理中使用护理经理来改善抑郁症患者的护理质量

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The collaborative care model with a care manager has previously generated beneficial results for patients with depression in terms of decreased burden of depression symptoms. A care manager function has been tested in Sweden in the PRIM-CARE RCT with successful results. The aim of the present study was to evaluate the process of implementing care managers in collaborative care for patients with depression in Swedish primary health care in the PRIM-CARE RCT. The study followed UK Medical Research Council guidance for process evaluation. Field notes from the implementation of the PRIM - CARE RCT were used, as well as data collected from five focus group discussions with General Practitioners (n?=?29) and three focus group discussions with care managers (n?=?11). Data were analysed with content analysis. Training sessions, careful preparation and extensive initial support to the care manager and staff at the Primary Care Centres were important ingredients in the implementation. The close access to facilitators, the recurrent peer support meetings, and the weekly newsletter strengthened the care manager function. A complex intervention adapted to the Swedish primary care context focusing on a care manager function for patients with depression could be performed through a stepwise implementation process. Financial support from the health care regions included in the study helped to reduce the impact of identified barriers. This process evaluation has revealed new and important knowledge for primary care development concerning infrastructure and organization building, knowledge sharing, and facilitating factors and barriers. NCT02378272 Care Manager – Coordinating Care for Person Centered Management of Depression in Primary Care (PRIM – CARE). Registered March 4 2015. Retrospectively registered.
机译：就减轻抑郁症状负担而言，与护理经理的合作护理模型先前已为抑郁患者产生了有益的结果。瑞典的PRIM-CARE RCT已测试了护理经理功能，并取得了成功的结果。本研究的目的是评估PRIM-CARE RCT中在瑞典初级卫生保健中为抑郁症患者实施协作护理中的护理经理的过程。该研究遵循了英国医学研究理事会的流程评估指南。使用了执行PRIM-CARE RCT的现场说明，以及从与全科医生（n = 29）进行的五个焦点小组讨论和与护理人员（n = 11）进行的三个焦点小组讨论中收集的数据。用内容分析法分析数据。培训课程，精心准备以及为初级护理中心的护理经理和员工提供广泛的初步支持是实施过程中的重要因素。与调解人的密切联系，周期性的同伴支持会议以及每周简讯加强了护理经理的职能。可以通过分步实施过程来执行适合瑞典基础医疗环境的，针对抑郁症患者的护理经理职能的复杂干预措施。该研究中包括的医疗保健地区的财政支持有助于减少已查明障碍的影响。该过程评估揭示了有关基础设施和组织建设，知识共享以及促进因素和障碍的初级保健发展新知识和重要知识。 NCT02378272护理经理–初级保健中以人为中心的抑郁症管理的协调护理（PRIM – CARE）。 2015年3月4日注册。追溯注册。

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