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首页> 外文期刊>International Journal of Integrated Care >Organizational Context Matters: A Research Toolkit for Conducting Standardized Case Studies of Integrated Care Initiatives
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Organizational Context Matters: A Research Toolkit for Conducting Standardized Case Studies of Integrated Care Initiatives

机译：组织背景问题：用于开展综合护理举措的标准化案例研究的研究工具包

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Introduction: The variable success of integrated care initiatives has led experts to recommend tailoring design and implementation to the organizational context. Yet, organizational contexts are rarely described, understood, or measured with sufficient depth and breadth in empirical studies or in practice. We thus lack knowledge of when and specifically how organizational contexts matter. To facilitate the accumulation of evidence, we developed a research toolkit for conducting case studies using standardized measures of the (inter-)organizational context for integrating care. Theory and Methods: We used a multi-method approach to develop the research toolkit: (1) development and validation of the Context and Capabilities for Integrating Care (CCIC) Framework, (2) identification, assessment, and selection of survey instruments, (3) development of document review methods, (4) development of interview guide resources, and (5) pilot testing of the document review guidelines, consolidated survey, and interview guide. Results: The toolkit provides a framework and measurement tools that examine 18 organizational and inter-organizational factors that affect the implementation and success of integrated care initiatives. Discussion and Conclusion: The toolkit can be used to characterize and compare organizational contexts across cases and enable comparison of results across studies. This information can enhance our understanding of the influence of organizational contexts, support the transfer of best practices, and help explain why some integrated care initiatives succeed and some fail.
机译：介绍：集成护理计划的变量成功使专家推荐定制设计和实施组织背景。然而，在经验研究或实践中，很少描述，理解或以足够的深度和广度测量或测量组织背景。因此，我们缺乏了解组织语境的何时和专门知识。为了促进证据的积累，我们开发了一种使用标准化措施进行案例研究的研究工具包，用于整合护理的标准措施。理论与方法：我们使用了一种多方法方法来开发研究工具包：（1）开发和验证整合护理（CCIC）框架的上下文和能力，（2）识别，评估和选择调查仪器（ 3）制定文件审查方法，（4）开发面试指导资源，以及（5）文件审查指南，综合调查和面试指南的试验试验。结果：该工具包提供了一种框架和测量工具，用于检查影响综合护理计划的实施和成功的18个组织和组织间因素。讨论和结论：工具包可用于在案例中表征和比较组织背景，并实现跨研究结果的比较。这些信息可以增强我们对组织背景影响的理解，支持转移最佳实践，并帮助解释为什么一些综合护理举措成功，有些失败。

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