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确保干预成功:评估适配性作为实施过程中被忽视的一步。

Ensuring intervention success: Assessing fit as an overlooked step of the implementation process.

作者信息

Blanchard Carrie M, Livet Melanie

机构信息

PharmD, MPH. Division of Practice Advancement and Clinical Education, Center for Medication Optimization, Eshelman School of Pharmacy, University of North Carolina. Chapel Hill, NC (United States).

出版信息

Pharm Pract (Granada). 2020 Oct-Dec;18(4):2235. doi: 10.18549/PharmPract.2020.4.2235. Epub 2020 Dec 7.

Abstract

Ensuring fit between a service and the implementing context is a critical but often overlooked precursor of implementation success. This commentary proposes five key considerations that should be evaluated when exploring fit: alignment with needs and metrics; alignment with organizational resources and capabilities; alignment with organizational priorities and culture; alignment with reimbursement mechanisms for long-term sustainability; and alignment with the regulatory environment. Successful uptake and implementation hinges on careful planning and, most importantly, appropriate fit between the service and the implementing environment.

摘要

确保一项服务与实施环境相匹配是实施成功的关键,但往往被忽视的前提条件。本评论提出了在探索匹配度时应评估的五个关键因素:与需求和指标的一致性;与组织资源和能力的一致性;与组织优先事项和文化的一致性;与长期可持续性的报销机制的一致性;以及与监管环境的一致性。成功的采用和实施取决于精心规划,最重要的是,服务与实施环境之间的适当匹配。

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