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STEADI in Primary Care: A Process Evaluation of the New York State Implementation

机译:初级保健的Steadi:纽约国家实施的过程评估

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Abstract This session presents findings from a STEADI process evaluation that was conducted within a primary care setting in New York State. This process evaluation used mixed methods including quantitative analysis of surveys with clinic staff as well as qualitative methods such as intercept interviews with healthcare providers and clinic staff, and structured interviews with key stakeholders. The RE-AIM framework guided development of the process evaluation tools. The process evaluation was conducted over a 2-month period approximately 18 months post-implementation. Facilitators included: (a) Adoption - physician champion and administrative support; (b) Implementation - wellness coordinators, preparation and training, and organizational quality measures; (c) Maintenance - feedback from patients, local and national recognition, and impact on fall-related outcomes. Barriers included: (a) Adoption – organizational priorities and complexity of electronic health records; (b) Implementation – resistance to change and competing patient care demands; (c) Maintenance - staff turnover and follow through of referrals.
机译:摘要本次会议提出了在纽约州的初级保健环境中进行的STEADI过程评估的结果。该过程评估使用了混合方法,包括对诊所工作人员的调查以及与医疗提供者和诊所工作人员的拦截访谈等定性方法的定量分析,以及与主要利益相关者的结构化访谈。重新瞄准框架引导过程评估工具的开发。过程评估在实施后约18个月内进行了2个月的时间。促进者包括:(a)通过 - 医师冠军和行政支持; (b)实施 - 健康协调员,准备和培训,以及组织质量措施; (c)维护 - 患者,地方和国家认可的反馈,以及对与秋季相关成果的影响。障碍包括:(a)通过 - 组织优先事项和电子健康记录的复杂性; (b)实施 - 抵抗变革和竞争患者护理需求; (c)维护 - 工作人员营业额和通过推荐。

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