慢性病定制实施（TICD）项目：介绍与主要发现
The Tailored Implementation in Chronic Diseases (TICD) project: introduction and main findings.
作者信息
Wensing Michel
机构信息
Heidelberg University Hospital, Department of General Practice and Health Services Research, Heidelberg, Germany.
Radboud University Medical Centre, Radboud Institute of Health Sciences, Nijmegen, Netherlands.
出版信息
Implement Sci. 2017 Jan 10;12(1):5. doi: 10.1186/s13012-016-0536-x.
Abstract
BACKGROUND
The Tailored Implementation in Chronic Diseases (TICD) project aims to contribute knowledge on how to improve healthcare for patients with chronic diseases and, at the same time, knowledge on concepts and methods of tailoring interventions to local conditions. In this contribution, the project is briefly introduced and its main findings are discussed.
DISCUSSION
The tailored implementation programs in the TICD project had little impact, for which we provide a range of potential explanations. Structured group interviews with informed stakeholders, such as clinicians and researchers, were used to generate perceived determinants of practice and suggestions for tailored implementation strategies. They were productive and valid, yet incomplete, if compared to perceptions of healthcare providers who received the tailored implementation programs. Ongoing monitoring of determinants of practice during intervention delivery seems required to adapt the interventions to emerging needs and opportunities.
摘要
背景
慢性病定制化实施（TICD）项目旨在增进关于如何改善慢性病患者医疗保健的知识，同时增进关于根据当地情况定制干预措施的概念和方法的知识。在本论文中，将简要介绍该项目并讨论其主要发现。
讨论
TICD项目中的定制化实施计划影响甚微，对此我们给出了一系列可能的解释。通过与临床医生和研究人员等有见识的利益相关者进行结构化小组访谈，以得出实践的感知决定因素以及定制化实施策略的建议。这些访谈富有成效且有效，但与接受定制化实施计划的医疗服务提供者的看法相比，仍不完整。在干预实施过程中持续监测实践的决定因素似乎是必要的，以便使干预措施适应新出现的需求和机会。
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