将评估数据转化为戒毒治疗的实施方法。

IF 1.7 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Inquiry-The Journal of Health Care Organization Provision and Financing Pub Date : 2024-01-01 DOI:10.1177/00469580241237117
Jessica L Bourdon, Taylor Fields, Sidney Judson, Nehal P Vadhan, Jon Morgenstern
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引用次数: 0

摘要

在戒毒住院环境中,缺乏有效的数据转化,无法为患者的实时治疗提供依据。本研究介绍了临床医生用于个性化治疗的评估报告的优化情况。研究采用多目标迭代方法,从实施科学的角度出发,最终形成了评估报告的最终版本。这项工作在一家小型住院戒毒机构进行。参与者为所有可用的临床工作人员(N = 7;女性 = 71%)。目标 1 和目标 2 采用了定量调查,分别评估报告的动机和背景,以及评估报告的设计。目的 3 侧重于通过半结构式访谈进行优化。描述性分析和修改后的内容分析在各个目标中都得到了适当运用。因此,在 2021 年 2 月至 2022 年 8 月期间,我们制作了五个版本的评估报告,其中最新版本已被改编到患者的电子病历中。我们将深入讨论每个版本的报告,包括临床医生的迭代反馈以及研究人员在这一转化过程中感知到的障碍。回复率为 64.3%。当前的研究强调了一种可复制的方法,可将评估数据优化转化为对成瘾症患者的治疗,同时还强调了一种评估报告,可供样本量自然较少的类似机构使用。
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An Implementation Approach to Translating Assessment Data into Treatment for Disorders of Addiction.

Effective translation of data to inform real-time patient care is lacking in addiction inpatient settings. The current study presents the optimization of an assessment report that is used by clinicians to individualize treatment. A multi-aim, iterative approach was taken, utilizing an implementation science perspective to arrive at a final version of the assessment report. This occurred at a small inpatient addiction treatment facility. Participants were all available clinical staff (N = 7; female = 71%). A quantitative survey was used for aims 1 and 2 to, respectively, assess motives and context around the report as well as evaluate its design. Aim 3 focused on optimization via semi-structured interviews. Descriptive and modified content analyses were utilized appropriately across aims. This resulted in five versions of the assessment report being created between February 2021 and August 2022, the most recent of which was adapted into patients' electronic medical records. We discuss each version of the report in depth, including clinicians' iterative feedback and researchers' perceived barriers to this translational process. The response rate was 64.3%. The current study highlights a replicable approach for optimizing the translation of assessment data into treatment for patients with disorders of addiction as well as an assessment report that could be utilized by similar facilities with a naturally low sample size.

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来源期刊
CiteScore
2.50
自引率
0.00%
发文量
192
审稿时长
>12 weeks
期刊介绍: INQUIRY is a peer-reviewed open access journal whose msision is to to improve health by sharing research spanning health care, including public health, health services, and health policy.
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