采用水平扫描识别新型综合护理模式的障碍与促进因素:一项定性访谈研究

IF 1.4 Q3 HEALTH CARE SCIENCES & SERVICES

BMJ Innovations Pub Date : 2022-02-16 DOI:10.1136/bmjinnov-2021-000804

Malin Nuth Waggestad-Stoa, Gloria Traina, Eli Feiring

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引用次数: 0

摘要

目标水平扫描方法用于医疗保健，在发展过程的早期阶段识别和优先考虑创新。迄今为止，水平扫描已主要应用于卫生技术的早期意识系统，以促进卫生保健计划。尽管如此，水平扫描方法也可能与确定新的医疗服务模式和干预措施有关。本研究旨在探讨在综合护理模式发展的背景下，采用水平扫描的决定因素的看法。方法于2021年3月至5月进行定性半结构化访谈。受访者(n=10)是挪威东南部地区卫生局创新项目的参与者。在行为改变理论的预定义框架的帮助下，对数据进行了主题分析。结果在个人、组织和更广泛的机构层面报告了采用水平扫描的决定因素。七个领域被认为能够或阻碍利益相关者使用水平扫描:结构化审查的知识、水平扫描的技能、对结果的信念(信息的有效性和可靠性、过滤和优先级设置的结果、利益相关者的参与)、对能力的信念(技术技能、角色和职业身份的知识、组织法规)、情绪(积极性、参与度、变革疲劳)、组织资源(专业图书馆、时间、管理支持)、背景(“综合护理”的复杂性)、职业等级，法律和政治规定)。本研究为采用水平扫描来识别、评估和优先考虑创新综合护理模式的潜在决定因素提供了新的见解。研究结果可能有助于组织考虑使用水平扫描和通知策略，以减轻障碍和促进促进者。

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Barriers and facilitators to adopting horizon scanning to identify novel integrated care models: a qualitative interview study

Objectives Horizon scanning methodologies are employed in healthcare to identify and prioritise innovations at the early stages of development processes. To date, horizon scanning has been predominantly applied to early awareness systems of health technologies to facilitate healthcare planning. Still, horizon scanning methodologies may also be relevant for identifying novel healthcare delivery models and interventions. This study aimed to examine perceptions of determinants for adopting horizon scanning in the context of the development of integrated care models. Methods Qualitative semistructured interviews were conducted between March and May 2021. The interviewees (n=10) were participants in innovation projects in the South-Eastern Norway Regional Health Authority. Data were analysed thematically with the aid of a predefined framework adapted from behavioural change theory. Results Determinants of adopting horizon scanning were reported at the individual, organisational and wider institutional levels. Seven domains were perceived to enable or hinder stakeholders’ potential use of horizon scanning: knowledge of structured reviews, skills to perform horizon scanning, beliefs about consequences (validity and reliability of information, outcomes of filtering and priority setting, stakeholder involvement), beliefs about capabilities (technical skills, knowledge of roles and professional identities, organisational regulations), emotions (positivity, engagement, change fatigue), organisational resources (professional library, time, management support), context (complexity of ‘integrated care’, professional hierarchies, legal and political regulations). Conclusions This study provides novel insights into potential determinants for adopting horizon scanning to identify, assess and prioritise innovative integrated care models. The findings may assist organisations considering using horizon scanning and inform strategies to mitigate barriers and promote facilitators.

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来源期刊

BMJ Innovations Medicine-Medicine (all)

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Healthcare is undergoing a revolution and novel medical technologies are being developed to treat patients in better and faster ways. Mobile revolution has put a handheld computer in pockets of billions and we are ushering in an era of mHealth. In developed and developing world alike healthcare costs are a concern and frugal innovations are being promoted for bringing down the costs of healthcare. BMJ Innovations aims to promote innovative research which creates new, cost-effective medical devices, technologies, processes and systems that improve patient care, with particular focus on the needs of patients, physicians, and the health care industry as a whole and act as a platform to catalyse and seed more innovations. Submissions to BMJ Innovations will be considered from all clinical areas of medicine along with business and process innovations that make healthcare accessible and affordable. Submissions from groups of investigators engaged in international collaborations are especially encouraged. The broad areas of innovations that this journal aims to chronicle include but are not limited to: Medical devices, mHealth and wearable health technologies, Assistive technologies, Diagnostics, Health IT, systems and process innovation.