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采用综合知识转化(IKT)方法推动加拿大电子咨询的政策变革。

Using an Integrated Knowledge Translation (IKT) Approach to Enable Policy Change for Electronic Consultations in Canada.

作者信息

Liddy Clare, Moroz Isabella, Joschko Justin, Horsley Tanya, Kuziemsky Craig, Burns Katharina Kovacs, Kossey Sandi, Mitera Gunita, Keely Erin

机构信息

Clinician Investigator, C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, ON.

Research Associate, C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, ON.

出版信息

Healthc Policy. 2018 Aug;14(1):19-29. doi: 10.12927/hcpol.2018.25551.

DOI:10.12927/hcpol.2018.25551
PMID:30129432
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6147367/
Abstract

This paper explores our efforts to support the expansion of a regional electronic consultation (eConsult) service on a national level by addressing potential policy barriers. We used an integrated knowledge translation (IKT) strategy based on five key activities leading to a National eConsult Policy Think Tank meeting: (1) identifying potential policy enablers and barriers; (2) engaging national and provincial/territorial partners; (3) including patient voices; (4) undertaking co-design and planning; and (5) adopting a solution-based approach. We successfully leveraged a diverse set of stakeholders in strategic discussions, culminating in actionable suggestions for next steps, which will serve to inform a national implementation strategy.

摘要

本文探讨了我们通过应对潜在政策障碍来支持在全国范围内扩大区域电子咨询(eConsult)服务的努力。我们采用了一种基于五项关键活动的综合知识转化(IKT)策略,这些活动促成了一次全国电子咨询政策智囊团会议:(1)识别潜在的政策推动者和障碍;(2)与国家和省/地区合作伙伴合作;(3)纳入患者意见;(4)进行共同设计和规划;(5)采用基于解决方案的方法。我们在战略讨论中成功地利用了各种各样的利益相关者,最终形成了关于下一步行动的可操作建议,这将为全国实施战略提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d7/6147367/71a7cc78f5b5/policy-14-19-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d7/6147367/15e80dcb4325/policy-14-19-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d7/6147367/739c0e31ec39/policy-14-19-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d7/6147367/71a7cc78f5b5/policy-14-19-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d7/6147367/15e80dcb4325/policy-14-19-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d7/6147367/739c0e31ec39/policy-14-19-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08d7/6147367/71a7cc78f5b5/policy-14-19-g003.jpg

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本文引用的文献

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BMJ Open. 2016 Jun 23;6(6):e010920. doi: 10.1136/bmjopen-2015-010920.
2
Integrated knowledge translation (IKT) in health care: a scoping review.医疗保健中的综合知识转化(IKT):一项范围综述。
Implement Sci. 2016 Mar 17;11:38. doi: 10.1186/s13012-016-0399-1.
3
Impact of and Satisfaction with a New eConsult Service: A Mixed Methods Study of Primary Care Providers.
Key factors for national spread and scale-up of an eConsult innovation.
电子咨询创新在全国范围内传播和扩大的关键因素。
Health Res Policy Syst. 2020 Jun 3;18(1):57. doi: 10.1186/s12961-020-00574-0.
4
Scaling up eConsult for access to specialists in primary healthcare across four Canadian provinces: study protocol of a multiple case study.在加拿大四个省份的基层医疗中扩大电子咨询以获取专家服务:一项多案例研究的研究方案。
Health Res Policy Syst. 2019 Sep 12;17(1):83. doi: 10.1186/s12961-019-0483-5.
5
Supporting the spread and scale-up of electronic consultation across Canada: cross-sectional analysis.支持加拿大电子咨询的传播和扩大:横断面分析。
BMJ Open. 2019 May 30;9(5):e028888. doi: 10.1136/bmjopen-2018-028888.
一项针对初级保健提供者的新电子咨询服务的影响及满意度:混合方法研究
J Am Board Fam Med. 2015 May-Jun;28(3):394-403. doi: 10.3122/jabfm.2015.03.140255.
4
Ten steps to establishing an e-consultation service to improve access to specialist care.建立电子咨询服务以改善专科护理可及性的十个步骤。
Telemed J E Health. 2013 Dec;19(12):982-90. doi: 10.1089/tmj.2013.0056. Epub 2013 Sep 27.
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Utilization, benefits, and impact of an e-consultation service across diverse specialties and primary care providers.电子咨询服务在不同专业和初级保健提供者中的利用、获益和影响。
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From research to health policy impact.从研究到卫生政策影响。
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