关键词: adaptation context digital innovation healthcare transformation integrated care

来  源:   DOI:10.5334/ijic.8605   PDF(Pubmed)

Abstract:
UNASSIGNED: The absence of a coordinated approach to health and social care compromises the ability of health systems to provide universal, equitable, high-quality, and financially sustainable care. Transferring evidence-based practices focused on digitally-enabled integrated care to new contexts can overcome this challenge if implementation is satisfactory. This paper presents the scaling-out methodology that JADECARE has designed to spread effective innovative practices across Europe.
UNASSIGNED: The scaling-out methodology pretends to guide the Next Adopters in the transfer and adoption of practices, whereas increasing their implementation capacity and providing an evaluation framework to assess impact and success.
UNASSIGNED: JADECARE scaling-out effort is based on guiding principles found in the literature such as the balance between fidelity to the original practice and the degree of adaptation required to fit the new context, the need for capacity building in implementation to bridge the gap between research and routine practice and the focus on explaining why, for whom and in what circumstances an intervention works.
UNASSIGNED: The JADECARE scaling-out methodology is theory-driven and pragmatic and aims to facilitate the transfer of complex interventions across different contexts.
摘要:
缺乏协调的卫生和社会护理方法会损害卫生系统提供普遍,公平,高品质,和财务上可持续的护理。如果实施令人满意,将专注于数字化集成护理的循证实践转移到新环境可以克服这一挑战。本文介绍了JADECARE设计的扩展方法,该方法旨在在整个欧洲传播有效的创新实践。
扩展方法假装指导下一个采用者转移和采用实践,而提高其执行能力,并提供评估影响和成功的评估框架。
JADECARE扩展努力基于文献中的指导原则,例如对原始实践的保真度与适应新环境所需的适应程度之间的平衡,需要在实施中进行能力建设,以弥合研究与常规实践之间的差距,并着重于解释原因,干预对谁以及在什么情况下起作用。
JADECARE扩展方法是理论驱动和务实的,旨在促进复杂干预措施在不同背景下的转移。
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