个体化慢性病干预实施（TICD）：项目方案。
Tailored Implementation For Chronic Diseases (TICD): a project protocol.
机构信息
Scientific Institute for Quality of Healthcare, Nijmegen, Radboud University Nijmegen Medical Centre, Geert Grooteplein, Nijmegen, the Netherlands.
出版信息
Implement Sci. 2011 Sep 7;6:103. doi: 10.1186/1748-5908-6-103.
BACKGROUND
The assumption underlying tailoring is that implementation interventions are most helpful if these effectively address the most important determinants of practice for improvement in the targeted setting. The aim of the Tailored Implementation For Chronic Diseases (TICD) project is to develop valid and efficient methods of tailoring implementation interventions to determinants of practice for knowledge implementation in chronic illness care.
METHODS
The TICD project has organized the planned empirical research in three work packages that follow the three main steps of tailoring: identification of determinants of healthcare practice, matching implementation interventions to identified determinants of practice, and applying and assessing the tailored implementation interventions. These three key steps of tailored implementation will be applied to targeted chronic conditions in five different healthcare systems: cardiovascular disease in the Netherlands, obesity in England, depression in Norway, chronic obstructive pulmonary disease in Poland, and multimorbidity in Germany. The design and interpretation of empirical research will be informed by systematic reviews of previous research on tailoring implementation interventions.
DISCUSSION
The TICD project will provide much needed evidence on the advantages and disadvantages of different methods of identifying important determinants of practice and selecting implementation strategies that take account of those. It will also provide five rigorous evaluations of tailored implementation interventions for five different chronic conditions.
背景
定制化实施的假设前提是，如果实施干预措施能够有效地针对目标环境中实践改进的最重要决定因素进行干预，那么这些干预措施将最有帮助。慢性疾病定制化实施（TICD）项目旨在开发有效的方法，将实施干预措施定制到实践的决定因素中，以实现慢性疾病护理中的知识实施。
方法
TICD 项目在三个工作包中组织了计划中的实证研究，这些工作包遵循定制化实施的三个主要步骤：确定医疗保健实践的决定因素，将实施干预措施与确定的实践决定因素相匹配，以及应用和评估定制化的实施干预措施。这三个定制化实施的关键步骤将应用于五个不同医疗系统中的目标慢性疾病：荷兰的心血管疾病、英国的肥胖症、挪威的抑郁症、波兰的慢性阻塞性肺疾病和德国的多种疾病。实证研究的设计和解释将以对定制化实施干预措施的系统性回顾为依据。
讨论
TICD 项目将提供关于识别重要实践决定因素和选择考虑这些因素的实施策略的不同方法的优缺点的急需证据。它还将对五种不同的慢性疾病的定制化实施干预措施进行五项严格的评估。
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