Barriers and Enablers to Implementing Peer Specialists in Veterans Health Administration Primary Care: a Qualitative Study.
Barriers and Enablers to Implementing Peer Specialists in Veterans Health Administration Primary Care: a Qualitative Study.
复制标题
在退伍军人健康管理初级保健中实施同行专家的障碍和推动因素：定性研究。
DOI：
10.1007/s11606-022-07782-0
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发表时间：
2023
影响因子：
5.7
通讯作者：
Chinman,Matthew
中科院分区：
文献类型：
--
作者：
Peeples,AmandaD;Muralidharan,Anjana;McCarthy,Sharon;Goldberg,Richard;Kuykendall,Lorrianne;Vineyard,Natalie;Chinman,Matthew
背景同行专家（PS）越来越多地部署在各种设置，以提供以病人为中心的护理。在退伍军人健康管理局（VHA），正在努力将PS纳入初级保健环境。鲜为人知的是，在初级保健中实施PS服务的障碍和使能因素。ObjectiveCharacterizing barriers and enabling to implementing PS in primary care.DesignQualitative study using semi-structured interviews. ApproachPSs and supervisors were interviewed about their experience integrating PS in primary care.进行了快速分析，以确定PS集成的障碍和使能因素，以及检查外部促进的作用，在实施experiences.Key ResultsFifty-two访谈完成（25个PS从19个站点和27个主管从24个站点）。VHA初级保健环境中PS整合的障碍和推动因素包括PS角色的明确性和限制、提供者的认同、监督、领导支持和初级保健文化。的障碍和使能因素是一致的，在整个外部的便利和控制sites.ConclusionsResults描述的创新，收件人的特点，和上下文的影响成功实施的PS在初级保健设置。试验注册本项目在ClinicalTrials.gov注册，编号为NCT 02732600（URL：https：//clinicaltrials.gov/ct2/show/NCT02732600）。
BackgroundPeer specialists (PSs) are increasingly deployed in a variety of settings to provide patient-centered care. In the Veterans Health Administration (VHA), efforts are underway to integrate PSs into primary care settings. Little is known about the barriers and enablers to implementing PS services in primary care.ObjectiveTo characterize barriers and enablers to implementing PSs in primary care.DesignQualitative study using semi-structured interviews.ParticipantsPSs and their supervisors from 25 VHA primary care settings.ApproachPSs and supervisors were interviewed about their experiences integrating PSs in primary care. Rapid analysis was conducted to identify barriers and enablers to PS integration, as well as to examine the role of external facilitation in implementation experiences.Key ResultsFifty-two interviews were completed (25 PSs from 19 sites and 27 supervisors from 24 sites). Barriers and enablers to PS integration in VHA primary care settings included PS role clarity and constraints, provider buy-in, supervision, leadership support, and primary care culture. The barriers and enablers were consistent across both external facilitation and control sites.ConclusionsResults describe how the characteristics of the innovation, the recipients, and the context impact successful implementation of PSs in primary care settings. The identification of barriers and enablers holds promise for improving future efforts to embed PSs in primary care.Trial RegistrationThis project is registered at ClinicalTrials.gov with number NCT02732600 (URL: https://clinicaltrials.gov/ct2/show/NCT02732600).