Practice-, Provider-, and Patient-level interventions to improve preventive care: Development of the P3 Model.
Practice-, Provider-, and Patient-level interventions to improve preventive care: Development of the P3 Model.
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DOI：
10.1016/j.pmedr.2018.06.009
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发表时间：
2018-09
影响因子：
2.8
通讯作者：
Omer SB
中科院分区：
文献类型：
--
作者：
Bednarczyk RA;Chamberlain A;Mathewson K;Salmon DA;Omer SB
为了充分提供预防服务，在医疗保健实践、医疗保健提供者和临床就诊的患者层面的活动之间存在相互作用。通常使用的健康促进和行为理论模型解决了这三个层次中的一些，但没有一个能完全解释所有三个层次。建立了许多现有的理论模型的关键组成部分，包括健康信念模型，计划行为理论/理性行动理论，社会认知理论，社会生态模型，和临床预防保健的系统模型，我们描述了预防保健干预的P3（实践，提供者和患者水平）模型的发展。P3模型同时考虑了临床遭遇的所有三个水平以及影响这些水平的因素。这产生了一个模型，预防保健，适用于和适应不同的设置，并提供了一个框架的发展，实施和评估预防保健促进干预措施。P3模型的适用性是通过两个示范性的预防保健计划-免疫接种和结直肠癌筛查。项目3模式允许以模块化方法制定和评估干预措施，以便更实际地改进和优化干预措施。
For adequate provision of preventive services, there is an interplay between activities at the healthcare practice, healthcare provider, and patient levels of the clinical encounter. Commonly used health promotion and behavior theoretical models address some of these three levels, but none fully account for all three. Building off of key components of many existing theoretical models, including the Health Belief Model, Theory of Planned Behavior/Theory of Reasoned Action, Social Cognitive Theory, Social Ecological Model, and the Systems Model of Clinical Preventive Care, we describe the development of the P3 (Practice-, Provider-, and Patient-level) Model for preventive care interventions. The P3 Model accounts for all three levels of the clinical encounter, and the factors that impact these levels, concurrently. This yields a model for preventive care that is applicable and adaptable to different settings, and that provides a framework for the development, implementation, and evaluation of preventive care promotion interventions. The applicability of the P3 Model is shown through two exemplar preventive care programs – immunization and colorectal cancer screening. The P3 Model allows interventions to be developed and evaluated in a modular approach, to allow more practical refinement and optimization of the intervention.