Institut universitaire de cardiologie et de pneumologie de Quebéc, Université Laval, Québec.
Can Respir J. 2013 Jul-Aug;20(4):275-80. doi: 10.1155/2013/364817.
Implementation of current clinical practice guidelines in asthma and chronic obstructive pulmonary disease (COPD) is suboptimal. New implementation strategies should be developed and evaluated.
The authors report the rationale and planned methods of a project that sought to use a multifaceted knowledge translation intervention consisting of interactive education, mentorship through quality circles and practice-based tools in primary care to address key asthma and COPD care gaps. The present study was aborted due to inadequate primary care physician recruitment. Accordingly, the authors provide a critical review of their recruitment strategies and discuss alternative approaches and examples based on previous literature.
These practical lessons and discussion seek to inform researchers involved in designing and recruiting for future knowledge translation studies addressing chronic disease management in primary care.
目前在哮喘和慢性阻塞性肺疾病(COPD)的临床实践指南的实施情况并不理想。应该开发和评估新的实施策略。
作者报告了一个项目的基本原理和计划方法,该项目试图使用多方面的知识转化干预措施,包括初级保健中的互动教育、通过质量圈进行指导以及基于实践的工具,以解决哮喘和 COPD 护理方面的关键差距。由于初级保健医生的招聘不足,本研究被中止。因此,作者对其招聘策略进行了批判性评估,并根据以往文献讨论了替代方法和示例。
这些实用的经验教训和讨论旨在为参与设计和招募未来知识转化研究的研究人员提供信息,这些研究旨在解决初级保健中的慢性疾病管理问题。