实施 2 型糖尿病综合护理：混合方法研究方案。
Implementation of integrated care for type 2 diabetes: a protocol for mixed methods research.
机构信息
Department of TRANZO, Faculty of Social and Behavioural Sciences, Tilburg University, PO Box 90153, 5000 LE Tilburg, The Netherlands.
Elderly Care, Department of TRANZO, Faculty of Social and Behavioural Sciences, Tilburg University, PO Box 90153, 5000 LE Tilburg, The Netherlands.
出版信息
Int J Integr Care. 2014 Dec 15;14:e033. doi: 10.5334/ijic.1516. eCollection 2014 Oct.
INTRODUCTION
While integrated care for diabetes mellitus type 2 has achieved good results in terms of intermediate clinical and process outcomes, the evidence-based knowledge on its implementation is scarce, and insights generalisable to other settings therefore remain limited.
OBJECTIVE
This study protocol provides a description of the design and methodology of a mixed methods study on the implementation of integrated care for type 2 diabetes. The aim of the proposed research is to investigate the mechanisms by which and the context in which integrated care for type 2 diabetes has been implemented, which outcomes have been achieved and how the context and mechanisms have affected the outcomes.
METHODS
This article describes a convergent parallel mixed methods research design, including a systematic literature review on the implementation of integrated care for type 2 diabetes as well as a case study on two Dutch best practices on integrated care for type 2 diabetes.
DISCUSSION
The implementation of integrated care for diabetes type 2 is an under-researched area. Insights from this study could be applied to other settings as well as other chronic conditions to strengthen the evidence on the implementation of integrated care.
简介
虽然 2 型糖尿病的综合护理在中间临床和过程结果方面取得了良好的效果，但其实践的循证知识仍然很少，因此可推广到其他环境的见解仍然有限。
目的
本研究方案提供了一项关于 2 型糖尿病综合护理实施情况的混合方法研究的设计和方法描述。拟议研究的目的是调查实施 2 型糖尿病综合护理的机制和背景，以及已经取得的结果，以及环境和机制如何影响结果。
方法
本文描述了一种收敛并行混合方法研究设计，包括对 2 型糖尿病综合护理实施情况的系统文献综述，以及对两种荷兰 2 型糖尿病综合护理最佳实践的案例研究。
讨论
2 型糖尿病的综合护理实施是一个研究不足的领域。本研究的结果可以应用于其他环境以及其他慢性疾病，以加强综合护理实施的证据。
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