tailieunhanh - báo cáo khoa học: "Embedding effective depression care: using theory for primary care organisational and systems change"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Embedding effective depression care: using theory for primary care organisational and systems change | Gunn et al. Implementation Science 2010 5 62 http content 5 1 62 Implementation Science IMPLEMENTATION SCIENCE RESEARCH ARTICLE Open Access Embedding effective depression care using theory for primary care organisational and systems change 1 1 2 3 4 Jane M Gunn Victoria J Palmer Christopher F Dowrick Helen E Herrman Frances E Griffiths Renata Kokanovic5 Grant A Blashki6 Kelsey L Hegarty 1 Caroline L Johnson1 Maria Potiriadis1 Carl R May7 Abstract Background Depression and related disorders represent a significant part of general practitioners GPs daily work. Implementing the evidence about what works for depression care into routine practice presents a challenge for researchers and service designers. The emerging consensus is that the transfer of efficacious interventions into routine practice is strongly linked to how well the interventions are based upon theory and take into account the contextual factors of the setting into which they are to be transferred. We set out to develop a conceptual framework to guide change and the implementation of best practice depression care in the primary care setting. Methods We used a mixed method observational approach to gather data about routine depression care in a range of primary care settings via audit of electronic health records observation of routine clinical care and structured facilitated whole of organisation meetings. Audit data were summarised using simple descriptive statistics. Observational data were collected using field notes. Organisational meetings were audio taped and transcribed. All the data sets were grouped by organisation and considered as a whole case. Normalisation Process Theory NPT was identified as an analytical theory to guide the conceptual framework development. Results Five privately owned primary care organisations general practices and one community health centre took part over the course of 18 months. We successfully developed a conceptual framework for .