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通过以人为中心的关怀能力建设将以公平为中心的实施付诸实践:SUSTAIN 方法。

Operationalizing Equity-centered Implementation Through Person-centered Care Capacity-building with HIV Service Organizations: The SUSTAIN Approach.

出版信息

J Health Care Poor Underserved. 2023;34(3S):183-207. doi: 10.1353/hpu.2023.a903360.

Abstract

UNLABELLED

Capacity-building in trauma-informed care and harm reduction approaches with Southern HIV service organizations must be implemented in ways that foster trust and spur organizational change. Using an equity-centered implementation science framework, this study examines implementation strategies of the SUSTAIN COMPASS Coordinating Center's person-centered care (PCC) capacity-building interventions.

METHODS

Fifty-eight (58) in-depth qualitative interviews with staff (N=116) who received PCC capacity-building were analyzed using modified grounded theory.

RESULTS

Analysis identified four factors of equity-centered implementation that facilitated PCC capacity-building implementation. 1) Innovation factors: SUSTAIN models PCC approaches when implementing PCC capacity-building. 2) Inner factors: SUSTAIN employs PCC approaches. 3) Outer factors: SUSTAIN highlights socio-political factors that may influence PCC implementation. 4) Bridging factors: SUSTAIN facilitates partnerships to promote PCC learning and sustainability.

CONCLUSION

SUSTAIN PCC capacity-building advances health equity through operationalizing personcentered care in capacity-building implementation.

摘要

未加标签

在南部艾滋病毒服务组织中进行创伤知情护理和减少伤害方法的能力建设必须以促进信任和激发组织变革的方式实施。本研究采用以公平为中心的实施科学框架,探讨了 SUSTAIN COMPASS 协调中心以患者为中心的护理 (PCC) 能力建设干预措施的实施策略。

方法

对接受 PCC 能力建设的 58 名(58 名)员工(N=116)进行了 58 次深入的定性访谈,使用改良的扎根理论进行了分析。

结果

分析确定了促进 PCC 能力建设实施的四个以公平为中心的实施因素。1)创新因素:在实施 PCC 能力建设时,SUSTAIN 对 PCC 方法进行建模。2)内部因素:SUSTAIN 采用 PCC 方法。3)外部因素:SUSTAIN 强调可能影响 PCC 实施的社会政治因素。4)桥梁因素:SUSTAIN 促进伙伴关系,以促进 PCC 的学习和可持续性。

结论

SUSTAIN PCC 能力建设通过在能力建设实施中实施以患者为中心的护理来促进健康公平。

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