The contribution of implementation science to improving the design and evaluation of integrated care programmes for older people with frailty
The contribution of implementation science to improving the design and evaluation of integrated care programmes for older people with frailty
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DOI：
10.1108/jica-07-2018-0048
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发表时间：
2019-06-20
影响因子：
0.8
通讯作者：
Wilson, Dan
中科院分区：
文献类型：
--
作者：
Sadler, Euan;Sandall, Jane;Wilson, Dan
目的-本文的目的是讨论三个潜在的贡献，从实施科学，可以帮助临床医生和研究人员设计和评估更有效的综合护理方案，老年人的脆弱性。设计/方法/方式本观点文件侧重于三个贡献：利益相关者的参与，使用实施科学框架，评估实施战略和成果。结果-利益相关者的参与提高了接受者和供应商的干预措施，并提高了覆盖面和可持续性。实施科学框架评估提供者、接受者和更广泛的背景因素，促进和阻碍实施，并指导选择和定制适当的实施策略。通过对实施战略和成果的评估，可以评估针对这一人群的综合护理方案的有效性和实施情况。独创性/价值-不同的模式，提供综合护理，以支持老年人脆弱的存在，但它是不知道哪一个是最有效的，为个人和在临床或心理社会的情况。实施科学可以发挥宝贵的作用，在设计和评估更有效的综合护理方案，为这一人群。
Purpose The purpose of this paper is to discuss three potential contributions from implementation science that can help clinicians and researchers to design and evaluate more effective integrated care programmes for older people with frailty. Design/methodology/approach This viewpoint paper focuses on three contributions: stakeholder engagement, using implementation science frameworks, and assessment of implementation strategies and outcomes. Findings Stakeholder engagement enhances the acceptability of interventions to recipients and providers and improves reach and sustainability. Implementation science frameworks assess provider, recipient and wider context factors enabling and hindering implementation, and guide selection and tailoring of appropriate implementation strategies. The assessment of implementation strategies and outcomes enables the evaluation of the effectiveness and implementation of integrated care programmes for this population. Originality/value Different models to deliver integrated care to support older people with frailty exist, but it is not known which is most effective, for which individuals and in which clinical or psychosocial circumstances. Implementation science can play a valuable role in designing and evaluating more effective integrated care programmes for this population.