Health system foundations for Sláintecare implementation in 2020 and beyond - co-producing a Sláintecare Living Implementation Framework with Evaluation: Learning from the Irish health system's response to COVID-19. A mixed-methods study protocol.
Health system foundations for Sláintecare implementation in 2020 and beyond - co-producing a Sláintecare Living Implementation Framework with Evaluation: Learning from the Irish health system's response to COVID-19. A mixed-methods study protocol.
复制标题
DOI：
10.12688/hrbopenres.13150.1
复制
发表时间：
2020
影响因子：
--
通讯作者：
Barry S
中科院分区：
文献类型：
--
作者：
Burke S;Thomas S;Stach M;Kavanagh P;Magahy L;Johnston B;Barry S
在世界各地，卫生系统正在应对COVID-19大流行的重大冲击。该病毒正在造成卫生和社会保健提供方面的紧急和快速变化，并突出了卫生系统和更广泛社会中已有的缺陷和不平等现象。在爱尔兰，2019冠状病毒病是在Sláintecare实施的第二年发生的。Sláintecare是爱尔兰旨在普及及时综合医疗的十年卫生改革计划。这项研究将与评估（LIFE）共同产生一个活生生的实施框架，将证据、政策和实践联系起来，纳入现实世界Sláintecare实施。研究人员将与Sláintecare方案实施办公室、卫生部和HSE的高级领导合作，使用定性和定量方法对Sláintecare相关的COVID-19应对措施进行范围界定、记录、衡量和分析。LIFE最初将采用实时电子表格的形式，其中包含与Sláintecare最相关的COVID-19响应。对于每个响应，将收集3-4个指标，以便进行超时监控。该电子表格将伴随着一系列快速审查、多个案例研究的叙述性描述、研究论文、利益相关者参与和形成性反馈。这些共同构成了“生活”，为与项目合作伙伴进行的实时（实时）对话提供信息，随着项目的进展影响卫生政策和系统决策及实施。LIFE将在2019冠状病毒病出现后的几个月和几年内为爱尔兰的卫生系统改革提供信息，并为国际卫生系统和政策研究做出贡献。
All over the world, health systems are responding to the major shock of the COVID-19 pandemic. The virus is causing urgent and fast-paced change in the delivery of health and social care as well as highlighting pre-existing deficiencies and inequalities in the health system and broader society. In Ireland, COVID-19 is occurring during the second full year of Sláintecare’s implementation – Ireland’s 10-year plan for health reform to deliver universal access to timely, integrated care. This research will coproduce a Living Implementation Framework with Evaluation (LIFE) linking evidence, policy and practice that feeds into real-world Sláintecare implementation. In partnership with senior leadership in the Sláintecare Programme Implementation Office, the Department of Health and the HSE, the researchers will scope, document, measure and analyse the Sláintecare relevant COVID-19 responses using qualitative and quantitative methods. The LIFE will initially take the form of a live spreadsheet which contains the COVID-19 responses most relevant to Sláintecare. For each response, 3-4 indicators will be collected which enables monitoring overtime. The spreadsheet will be accompanied by a series of rapid reviews, narrative descriptions of multiple case studies, research papers, stakeholder engagement and formative feedback. These collectively make up the ‘LIFE’, informing dialogue with the project partners, which is happening in real time (living), influencing health policy and system decision-making and implementation as the project progresses. The LIFE will inform health system reform in Ireland in the months and years after the emergence of COVID-19 as well as contributing to international health systems and policy research.