Implementing and sustaining evidence-based practice in health care: The Bridge Model experience.
Implementing and sustaining evidence-based practice in health care: The Bridge Model experience.
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DOI：
10.1080/01634372.2018.1445154
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发表时间：
2018-04
影响因子：
3.2
通讯作者：
Alvarez R
中科院分区：
文献类型：
--
作者：
Xiang X;Robinson-Lane SG;Rosenberg W;Alvarez R
本定性研究分析了社区组织（CBO）实施和维持过渡性护理桥梁模式的经验，这是一种以社会工作为基础的卫生服务干预措施，旨在减少再入院率。我们对来自13家社区组织的临床主管进行了半结构化访谈，这些组织在2012年至2015年期间接受了桥梁模型培训。社区组织在实施和维持过渡性护理方案方面面临重大挑战，特别是与医院建立有效和可持续的伙伴关系。项目实施和可持续发展的其他障碍包括财务障碍和员工流失。促进执行和可持续性的因素包括组织的拥护者、组织文化和证据的价值。社区组织实施卫生服务干预措施的建议包括：尽早获得医院合作伙伴的支持，与医院合作伙伴建立合同安排，了解医疗保健支付模式的变化，使资金来源多样化，制定评估计划，以及培养组织冠军。
This qualitative study analyzed the experience of community-based organizations (CBOs) implementing and sustaining the Bridge Model of Transitional Care, a social work-based health service intervention for reducing hospital readmissions. We conducted semi-structured interviews with clinical supervisors from 13 CBOs that received Bridge Model training between 2012 and 2015. CBOs faced significant challenges implementing and sustaining transitional care programs, particularly related to building effective and sustainable partnerships with hospitals. Additional barriers to program implementation and sustainability included financial barriers and staff turnover. Facilitators to implementation and sustainability included organizational champions, organizational culture, and value of evidence. Recommendations for CBOs to implement health service interventions include gaining early buy-in from hospital partners, creating a contractual arrangement with the hospital partner, understanding changes in health-care payment models, diversifying funding sources, developing an evaluation plan, and nurturing organizational champions.
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发表时间：
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影响因子：
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