Applying implementation science to improve care for familial hypercholesterolemia.
Applying implementation science to improve care for familial hypercholesterolemia.
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DOI：
10.1097/med.0000000000000692
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发表时间：
2022-04-01
期刊：
影响因子：
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通讯作者：
Williams MS
中科院分区：
文献类型：
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作者：
Jones LK;Brownson RC;Williams MS
改善家族性高胆固醇血症（FH）患者的护理依赖于循证指南的综合及其随后在临床护理中的实施。本综述描述了实施策略，定义为改进将证据转化为FH护理的方法，这些策略已与实施变革专家建议（ERIC）汇编中的策略相对应。使用“家族性高胆固醇血症”一词搜索，从2018年11月到2021年7月，返回了1350篇文章。其中，有153篇文章与改善生育保健有关；1156人被排除在外，其余37人被映射到ERIC战略汇编中：评估准备情况，确定障碍和促进因素，开发和组织质量监测系统，创建新的临床团队，促进向提供者传递临床数据，并让患者和家属参与。37项研究中只有8项利用了实施科学理论、模型或框架，2项明确解决了健康差异或公平问题。将这些研究与ERIC汇编中的实施战略相关联，为组织现有战略以改善家庭卫生保健提供了一个框架。本研究确定了制定实施战略的潜在领域，以针对家庭卫生保健未解决的方面。
Improving care of individuals with familial hypercholesteremia (FH) is reliant on the synthesis of evidence-based guidelines and their subsequent implementation into clinical care. This review describes implementation strategies, defined as methods to improve translation of evidence into FH care, that have been mapped to strategies from the Expert Recommendations for Implementing Change (ERIC) compilation. A search using the term ‘familial hypercholesterolemia’ returned 1350 articles from November 2018 to July 2021. Among these, there were 153 articles related to improving FH care; 1156 were excluded and the remaining 37 were mapped to the ERIC compilation of strategies: assess for readiness and identify barriers and facilitators, develop and organize quality monitoring systems, create new clinical teams, facilitate relay of clinical data to providers, and involve patients and family members. There were only 8 of 37 studies that utilized an implementation science theory, model, or framework and two that explicitly addressed health disparities or equity. The mapping of the studies to implementation strategies from the ERIC compilation provides a framework for organizing current strategies to improve FH care. This study identifies potential areas for the development of implementation strategies to target unaddressed aspects of FH care.