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Key ingredients for implementing intensive outpatient programs within patient-centered medical homes: A literature review and qualitative analysis

机译:在以患者为中心的医疗之家中实施密集门诊计划的关键要素:文献复习和定性分析

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Background: Intensive outpatient programs aim to transform care while conserving resources for high-need, high-cost patients, but little is known about factors that influence their implementation within patient-centered medical homes (PCMHs).Methods: In this mixed-methods study, we reviewed the literature to identify factors affecting intensive outpatient program implementation, then used semi-structured interviews to determine how these factors influenced the implementation of an intensive outpatient program within the Veterans Affairs' (VA) PCMH. Interviewees included facility leadership and clinical staff who were involved in a pilot Intensive Management Patient Aligned Care Team (ImPACT) intervention for high-need, high-cost VA PCMH patents. We classified implementation factors in the literature review and qualitative analysis using the Consolidated Framework for Implementation Research (CFIR).
机译:背景:密集的门诊计划旨在在为高需求,高成本的患者节省资源的同时转变护理方式,但对于影响其在以患者为中心的医疗之家(PCMH)中实施的因素知之甚少。 ,我们回顾了文献以找出影响密集门诊计划实施的因素,然后使用半结构化访谈来确定这些因素如何影响退伍军人事务(VA)PCMH中密集门诊计划的实施。受访者包括机构领导和临床人员,他们参与了针对高需求,高成本的VA PCMH专利的强化管理患者联合护理团队(ImPACT)试点干预。我们使用实施研究综合框架(CFIR)在文献综述和定性分析中对实施因素进行分类。

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