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采用合作式形成性评价方法开发和评估两种儿童综合护理模式。

Development and Evaluation of Two Integrated Care Models for Children Using a Partnered Formative Evaluation Approach.

机构信息

UCLA Semel Institute for Neuroscience and Human Behavior, Geffen School of Medicine at UCLA, Los Angeles, CA.

UCLA Center for Health Services and Society, Los Angeles, CA.

出版信息

Ethn Dis. 2018 Sep 6;28(Suppl 2):445-456. doi: 10.18865/ed.28.S2.445. eCollection 2018.

Abstract

OBJECTIVE

To describe the development and evaluation of two integrated care models using a partnered formative evaluation approach across a private foundation, clinic leaders, providers and staff, and a university-based research center.

DESIGN

Retrospective cohort study using multiple data sources.

SETTING

Two federal qualified health care centers serving low-income children and families in Chicago.

PARTICIPANTS

Private foundation, clinic and academic partners.

INTERVENTIONS

Development of two integrated care models and partnered evaluation design.

MAIN OUTCOME MEASURES

Accomplishments and early lessons learned.

RESULTS

Together, the foundation-clinic-academic partners worked to include best practices in two integrated care models for children while developing the evaluation design. A shared data collection approach, which empowered the clinic partners to collect data using a web-based tool for a prospective longitudinal cohort study, was also created.

CONCLUSION

Across three formative evaluation stages, the foundation, clinic, and academic partners continued to reach beyond their respective traditional roles of project oversight, clinical service, and research as adjustments were collectively made to accommodate barriers and unanticipated events. Together, an innovative shared data collection approach was developed that extends partnered research to include data collection being led by the clinic partners and supported by the technical resources of a university-based research center.

摘要

目的

采用合作伙伴形成性评估方法,描述两个综合护理模式的开发和评估,该方法涉及私人基金会、诊所领导、服务提供者和工作人员以及基于大学的研究中心。

设计

使用多个数据源的回顾性队列研究。

设置

为芝加哥的低收入儿童和家庭服务的两个联邦合格的医疗保健中心。

参与者

私人基金会、诊所和学术合作伙伴。

干预措施

开发两种综合护理模式和合作伙伴评估设计。

主要观察指标

成就和早期经验教训。

结果

基金会-诊所-学术合作伙伴共同努力,将儿童的两种综合护理模式的最佳实践纳入其中,同时制定评估设计。还创建了一种共享的数据收集方法,使诊所合作伙伴能够使用基于网络的工具为前瞻性纵向队列研究收集数据,从而赋予他们权力。

结论

在三个形成性评估阶段,基金会、诊所和学术合作伙伴继续超越各自的传统角色,即项目监督、临床服务和研究,因为对各种障碍和意外事件进行了集体调整。此外,还共同开发了一种创新的共享数据收集方法,将合作伙伴研究扩展到包括由诊所合作伙伴主导、由基于大学的研究中心的技术资源支持的数据收集。

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