.png){kind=icon}
返回
How Practice Facilitation Strategies Differ by Practice Context
.png){kind=icon}
OA
AI
DOI：10.1007/s11606-019-05350-7.png)
.png){kind=icon}
.png){kind=icon}
分享.png){kind=icon}
收藏
摘要
En 中文
Background Practice facilitation is an implementation strategy used to build practice capacity and support practice changes to improve health care outcomes. Yet, few studies have investigated how practice facilitation strategies are tailored to different primary care contexts. Objective To identify contextual factors that drive facilitators' strategies to meet practice improvement goals, and how these strategies are tailored to practice context. Design Semi-structured, qualitative interviews analyzed using inductive (open coding) and deductive (thematic) approaches. This study was conducted as part of a larger study, HealthyHearts New York City, which evaluated the impact of practice facilitation on adoption of cardiovascular disease prevention and treatment guidelines. Participants 15 facilitators working in two practice contexts: small independent practices (SIPs) and Federally Qualified Health Centers (FQHCs). Main Measures Strategies facilitators use to support and promote practice changes and contextual factors that impact this approach. Key Results Contextual factors were described similarly across settings and included the policy environment, patient needs, site characteristics, leadership engagement, and competing priorities. We identified four facilitation strategies used to tailor to contextual factors and support practice change: (a) remain flexible to align with practice and organizational priorities; (b) build relationships; (c) provide value through information technology expertise; and (d) build capacity and create efficiencies. Facilitators in SIPs and FQHCs described using the same strategies, often in combination, but tailored to their specific contexts. Conclusions Despite significant infrastructure and resource differences between SIPs and FQHCs, the contextual factors that influenced the facilitator's change process and the strategies used to address those factors were remarkably similar. The findings emphasize that facilitators require multidisciplinary skills to support sustainable practice improvement in the context of varying complex health care delivery settings.
Keyword:
practice facilitation
qualitative
implementation
AI总结
对已上传原文的论文进行重点信息的提取，主要内容包括：简要概述、研究摘要、背景介绍、关键亮点、图文解析、展望与总结。
期刊
IF:
4.2
论文数:
1.3W
被引数:
3.2W
机构
引用论文
Achieving change in primary care-causes of the evidence to practice gap: systematic reviews of reviews.png)
IMPLEMENTATION SCIENCEOAAI
IMPLEMENTATION SCIENCEIF13.4
OAAI分享收藏A real-world stepped wedge cluster randomized trial of practice facilitation to improve cardiovascular care实践促进改善心血管护理的真实世界阶梯式楔形聚类随机试验IMPLEMENTATION SCIENCEOAAI
IMPLEMENTATION SCIENCEIF13.4
OAAI分享收藏
Implementation strategies: recommendations for specifying and reporting实施战略: 关于具体说明和报告的建议IMPLEMENTATION SCIENCEOAAI
IMPLEMENTATION SCIENCEIF13.4
OAAI分享收藏Effect of electrode size on the contributions of intracranial and extracranial blood flow to the cerebral electrical impedance plethysmogram电极尺寸对颅内和颅外血流对脑电阻抗容积描记图贡献的影响
PREAI
分享收藏
查看更多内容