VU University Medical Center, Department of Public and Occupational Health, EMGO Institute for Health and Care Research, Amsterdam, The Netherlands.
BMC Public Health. 2011 Jan 5;11:9. doi: 10.1186/1471-2458-11-9.
This article describes the development of a strategy to implement the insurance medicine guidelines for depression. Use of the guidelines is intended to result in more transparent and uniform assessment of claimants with depressive symptoms.
The implementation strategy was developed using the Intervention Mapping (IM) method for alignment with insurance-medical practice. The ASE behavioural explanation model (Attitude, Social Influence and Self-Efficacy) was used as theoretical basis for the development work. A literature study of implementation strategies and interviews with insurance physicians were performed to develop instruments for use with the guideline. These instruments were designed to match the needs and the working circumstances of insurance physicians. Performance indicators to measure the quality of the assessment and the adherence to the guidelines were defined with input from insurance physicians.
This study resulted in the development of a training course to teach insurance physicians how to apply the guidelines for depression, using the aforementioned instruments. The efficacy of this training course will be evaluated in a Randomized Controlled Trial.
The use of IM made it possible to develop guideline support instruments tailored to insurance medical practice.
本文描述了制定实施抑郁保险医学指南策略的过程。使用该指南旨在对有抑郁症状的索赔人进行更透明和统一的评估。
该实施策略是使用干预映射（IM）方法制定的，以符合保险医学实践。ASE 行为解释模型（态度、社会影响和自我效能）被用作开发工作的理论基础。对实施策略进行了文献研究，并对保险医师进行了访谈，以开发用于指南的工具。这些工具旨在满足保险医师的需求和工作环境。使用保险医师的输入定义了衡量评估质量和遵守指南的绩效指标。
本研究开发了一个培训课程，使用上述工具教授保险医师如何应用抑郁指南。该培训课程的效果将在一项随机对照试验中进行评估。
使用 IM 使得能够开发针对保险医学实践定制的指南支持工具。
