Applying Implementation Mapping to Expand a Care Coordination Program at a Federally Qualified Health Center.
Applying Implementation Mapping to Expand a Care Coordination Program at a Federally Qualified Health Center.
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DOI：
10.3389/fpubh.2022.844898
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发表时间：
2022
影响因子：
5.2
通讯作者：
Arredondo E
中科院分区：
文献类型：
--
作者：
Dickson KS;Holt T;Arredondo E
医疗服务不足的群体中有很大一部分在联邦合格的卫生中心接受护理，而且比例还在不断增加。护理协调是一种基于证据的方法，以解决医疗保健服务中的差异。一个合作伙伴建立了一个护理协调模式，以改善最有可能出现不良健康结果的患者的医疗保健接收和质量。这种护理协调模式强调识别和支持行为健康需求（例如，抑郁、焦虑）和两个基于证据的行为健康计划需求被选择在该护理协调模型的背景下实施。执行情况摸底调查是一个系统的过程，用于具体说明执行战略和成果。目前的案例研究描述了应用实施映射通知的选择和测试的实施策略，以改善实施的两个行为健康计划在护理协调计划在合作的CNOHC。我们应用实施映射来告知实施策略的开发，选择和测试，以改善合作的CNOHC护理协调计划中两个循证行为健康计划的实施。结果按实施映射任务（从任务1到任务5）列出。我们还描述了在实施映射过程中整合其他实施框架（实施研究综合框架，健康公平实施框架），以告知决定因素识别，绩效和变革目标的制定，实施战略和协议的设计和定制，以及由此产生的实施结果评估。目前的项目是一个例子，现实世界中的应用实施映射方法，以改善护理成果的高度优先的人口，可推广到其他设置利用类似的护理模式和健康公平的努力。这样的案例研究是至关重要的，以促进我们的理解和应用创新的实施科学方法，如实施映射。
A large and growing percentage of medically underserved groups receive care at federally qualified health centers (FQHCs). Care coordination is an evidence-based approach to address disparities in healthcare services. A partnered FQHC established a care coordination model to improve receipt and quality of healthcare for patients most at risk for poor health outcomes. This care coordination model emphasizes identification and support of behavioral health needs (e.g., depression, anxiety) and two evidence-based behavioral health programs needs were selected for implementation within the context of this care coordination model. Implementation Mapping is a systematic process for specifying the implementation strategies and outcomes. The current case study describes the application of Implementation Mapping to inform the selection and testing of implementation strategies to improve implementation of two behavioral health programs in a Care Coordination Program at a partnered FQHC. We applied Implementation Mapping to inform the development, selection and testing of implementation strategies to improve the implementation of two evidence-based behavioral health programs within a care coordination program at a partnered FQHC. Results are presented by Implementation Mapping task, from Task 1 through Task 5. We also describe the integration of additional implementation frameworks (The Consolidated Framework for Implementation Research, Health Equity Implementation Framework) within the Implementation Mapping process to inform determinant identification, performance and change objectives development, design and tailoring of implementation strategies and protocols, and resulting evaluation of implementation outcomes. The current project is an example of real-world application of Implementation Mapping methodology to improve care outcomes for a high priority population that is generalizable to other settings utilizing similar care models and health equity endeavors. Such case studies are critical to advance our understanding and application of innovative implementation science methods such as Implementation Mapping.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
2.8
作者：
Burke, Bridget Teevan;Miller, Benjamin F.;Phillips, Robert L.
通讯作者：
Phillips, Robert L.
影响因子：
6.7
作者：
Knaak, S.;Patten, S.
通讯作者：
Patten, S.
影响因子：
--
作者：
Knaak S;Mantler E;Szeto A
通讯作者：
Szeto A
影响因子：
5.2
作者：
Highfield L;Valerio MA;Fernandez ME;Eldridge-Bartholomew LK
通讯作者：
Eldridge-Bartholomew LK