College of Health Sciences, Moi University, Eldoret, Kenya; Moi Teaching and Referral Hospital, Eldoret, Kenya.
Moi Teaching and Referral Hospital, Eldoret, Kenya.
Glob Heart. 2019 Jun;14(2):173-179. doi: 10.1016/j.gheart.2019.06.003.
Ineffective referral networks in low- and middle-income countries hinders access to evidence-based therapies by hypertensive patients, leading to high cardiovascular mortality and morbidity. The STRENGTHS (Strengthening Referral Networks for Management of Hypertension Across Health Systems) study evaluates strategies to improve referral processes utilizing the International Association of Public Participation framework to engage stakeholders.
This study sought to identify and engage key stakeholders involved in referral of patients in the Ministry of Health, western Kenya.
Key stakeholders involved in policy formulation, provision, or consumption of public health care service were mapped out and contacted by phone, letters, and emissaries to schedule meetings, explain research objectives, and obtain feedback.
Key stakeholders identified were the Ministry of Health, the Academic Model Providing Access to Healthcare, health professionals, communities and their leadership, and patients. Engaging them resulted in permission to contact research in their areas of jurisdiction and enabled collaboration in updating care protocols with emphasis on timely and appropriate referrals.
Early stakeholder identification and engagement using the International Association of Public Participation model eased explanation of research objectives, building consensus, and shaping the interventions to improve the referral process.
在中低收入国家，低效的转诊网络阻碍了高血压患者获得基于证据的治疗，导致心血管疾病死亡率和发病率居高不下。STRATEGIES 研究（利用公共参与框架加强卫生系统管理高血压的转诊网络）评估了利用国际公共参与协会框架来吸引利益相关者的方法，以改善转诊流程。
本研究旨在确定并接触肯尼亚西部卫生部参与患者转诊的主要利益相关者。
通过电话、信件和特使，与参与政策制定、提供或消费公共卫生服务的主要利益相关者进行了联系，安排会议，解释研究目标，并征求反馈意见。
确定的主要利益相关者包括卫生部、学术模式提供医疗保健、卫生专业人员、社区及其领导层以及患者。与他们接触后，允许在其管辖范围内联系研究，并促进合作，更新护理协议，重点是及时和适当的转诊。
早期使用国际公共参与协会模型确定和接触利益相关者，有助于解释研究目标，达成共识，并制定改善转诊流程的干预措施。
