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采用混合方法评估澳大利亚健康创新组织内一项新创新提高消费者合作能力的早期可行性。

Assessing early feasibility of a novel innovation to increase consumer partnership capability within an Australian health innovation organisation using a mixed-method approach.

机构信息

New South Wales Agency for Clinical Innovation, St Leonards, New South Wales, Australia

NSW Agency for Clinical Innovation, St Leonards, New South Wales, Australia.

出版信息

BMJ Open. 2024 May 1;14(5):e080495. doi: 10.1136/bmjopen-2023-080495.

Abstract

OBJECTIVE

Engagement-capable health organisations recognise that consumer engagement (also known as patient engagement, consumer engagement, patient and public involvement) must occur at every level of the organisation if it is to be meaningful and genuine. Despite this aspiration, health organisations struggle to adopt, implement, and embody consumer engagement capability in a way that has yielded impact. The Partner Ring (PR) is an embedded model for building staff capability for consumer partnerships. It is hosted by an employed Patient Partner. PR was implemented at the Agency for Clinical Innovation in New South Wales, Australia. The aim of this study was to assess the feasibility (acceptability, demand and practicality) of this innovation to increase consumer engagement capability.

DESIGN

One-group post-intervention mixed methods approach to assess feasibility.

PARTICIPANTS

ACI staff engaged in the PR (n=40 of 89 members).

DATA COLLECTION AND ANALYSIS

Qualitative data was collected through an artificial intelligence (AI)-driven interactive interview, with 40 responses received between 29 June and 12 July 2023. A framework analysis and Generative AI causal mapping were conducted to identify and visualise causal claims within the texts. Cost and session attendance collected from the same point in time supplemented the analysis.

FINDINGS

Findings were categorised by the following feasibility constructs: acceptability, demand and practicality. Almost all the respondents indicated their intent to continue using the PR and outlined personal benefits and professional benefits. For example, (n=23, 57%) reacted positively to the psychological safety of the PR, and professionally people identified attendance increased their knowledge and skills (n=23, 57%).

CONCLUSION

The PR is feasible and likely to be an acceptable innovation for building staff capability and consumer engagement skills across a large health system or organisation. It could be adopted or adapted by other jurisdictions.

摘要

目的

有能力吸引消费者参与的健康组织认识到,如果要使消费者参与(也称为患者参与、消费者参与、患者和公众参与)有意义且真实,就必须在组织的各个层面进行。尽管有这种愿望,但健康组织在采用、实施和体现消费者参与能力方面仍面临困难,无法产生影响。合作伙伴戒指(PR)是一种用于培养员工与消费者建立伙伴关系能力的嵌入式模型。它由一名受雇的患者合作伙伴主持。PR 在澳大利亚新南威尔士州临床创新机构实施。本研究旨在评估这种创新提高消费者参与能力的可行性(可接受性、需求和实用性)。

设计

一种用于评估可行性的单组干预后混合方法方法。

参与者

参与 PR 的 ACI 员工(89 名成员中的 40 名)。

数据收集和分析

通过人工智能(AI)驱动的互动访谈收集定性数据,2023 年 6 月 29 日至 7 月 12 日期间共收到 40 份回复。进行了框架分析和生成式 AI 因果映射,以识别和可视化文本中的因果主张。同时收集了同一时间点的成本和会议出席情况,以补充分析。

结果

研究结果分为以下可行性构建:可接受性、需求和实用性。几乎所有受访者都表示有意继续使用 PR,并概述了个人和专业利益。例如,(n=23,57%)对 PR 的心理安全感反应积极,专业人士认为参加会议提高了他们的知识和技能(n=23,57%)。

结论

PR 是可行的,并且很可能成为一种可接受的创新,可用于在大型卫生系统或组织中培养员工能力和消费者参与技能。它可以被其他司法管辖区采用或改编。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de7a/11086460/55c50d02b8ed/bmjopen-2023-080495f01.jpg

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