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首页> 外文期刊>Primary health care research & development >Contextual factors influencing the implementation of innovations in community-based primary health care: the experience of 12 Canadian research teams
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Contextual factors influencing the implementation of innovations in community-based primary health care: the experience of 12 Canadian research teams

机译：影响基于社区初级保健的创新实施的背景因素：12个加拿大研究团队的经验

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The objectives of this paper are to: (1) identify contextual factors such as policy that impacted the implementation of community-based primary health care (CBPHC) innovations among 12 Canadian research teams and (2) describe strategies used by the teams to address contextual factors influencing implementation of CBPHC innovations. In primary care settings, consideration of contextual factors when implementing change has been recognized as critically important to success. However, contextual factors are rarely recorded, analyzed or considered when implementing change. The lack of consideration of contextual factors has negative implications not only for successfully implementing primary health care (PHC) innovations, but also for their sustainability and scalability. For this evaluation, data collection was conducted using self-administered questionnaires and follow-up telephone interviews with team representatives. We used a combination of directed and conventional content analysis approaches to analyze the questionnaire and interview data. Representatives from all 12 teams completed the questionnaire and 11 teams participated in the interviews; 40 individuals participated in this evaluation. Four themes representing contextual factors that impacted the implementation of CBPHC innovations were identified: (I) diversity of jurisdictions (II) complexity of interactions and collaborations (III) policy, and (IV) the multifaceted nature of PHC. The teams used six strategies to address these contextual factors including: (1) conduct an environmental scan at the beginning (2) maintaining engagement among partners and stakeholders by encouraging open and inclusive communication; (3) contextualizing the innovation for different settings; (4) anticipating and addressing changes, delays, and the need for additional resources; (5) fostering a culture of research and innovation among partners and stakeholders; and (6) ensuring information about the innovation is widely available. Implementing CBPHC innovations across jurisdictions is complex and involves navigating through multiple contextual factors. Awareness of the dynamic nature of context should be considered when implementing innovations.
机译：本文的目标是：（1）确定政策等政策，这些因素，影响了12个加拿大研究团队和（2）描述了组织地址上下文使用的策略的策略影响人民币创新实施的因素。在初级保健设置中，在实施变更时对上下文因素的考虑已被认为是对成功的批评。然而，在实施变更时很少记录，分析或考虑上下文因素。缺乏对语境因素的思考，不仅对成功实施初级保健（PHC）创新，而且还具有负面影响，而且还具有其可持续性和可扩展性。对于此评估，数据收集是使用自我管理问卷和与团队代表的后续电话访谈进行的。我们使用了定向和传统的内容分析方法的组合来分析调查问卷和面试数据。来自所有12支队伍的代表完成了调查问卷，11支球队参加了访谈; 40名个人参加了这个评估。鉴定了一些代表影响人民币创新实施的上下文因素的主题：（i）司法管辖区的多样性（ii）互动和合作（iii）政策的复杂性，和（iv）PHC的多方面性质。该团队使用了六个策略来解决这些上下文因素，包括：（1）通过鼓励开放和包容性沟通，在伙伴和利益攸关方维持合作伙伴和利益攸关方的参与，进行环境扫描; （3）对不同环境的创新创新; （4）预测和解决改变，延误和对额外资源的需求; （5）培养合作伙伴和利益攸关方之间的研究和创新文化; （6）确保有关创新的信息广泛可用。在司法管辖区实施CBPHC创新是复杂的，涉及通过多种上下文因素导航。在实施创新时，应考虑对情境的动态性质的认识。

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