کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5122700 1487193 2017 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Process evaluation of the implementation of scorecard-based antenatal risk assessment, care pathways and interdisciplinary consultation: the Healthy Pregnancy 4 All study
ترجمه فارسی عنوان
ارزیابی فرآیند اجرای ارزیابی ریسک زودهنگام مبتنی بر کارت امتیازی، مسیرهای مراقبت و مشاوره بین رشته ای: بارداری سالم 4 همه مطالعه
کلمات کلیدی
ارزیابی فرآیند، بارداری، مراقبت های سالمتی، ارزیابی ریسک، مسیر مراقبت،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های عفونی
چکیده انگلیسی


- The Healthy Pregnancy 4 All (HP4All) study was initiated to improve perinatal outcomes in The Netherlands.
- The HP4All study is a complex intervention where optimal linkage was sought between curative and preventive antenatal care.
- This process evaluation aims to evaluate the implementation of the risk assessment sub-study with a seven-step process.
- The intervention provides a vehicle for new partnerships between the curative and preventive antenatal healthcare sector.
- The results are used to get a better understanding of the associations between programme elements and programme outcomes.

ObjectiveTo evaluate the implementation of a complex intervention in the antenatal healthcare field in 14 Dutch municipalities. The intervention consisted of the implementation of a systematic scorecard-based risk assessment in pregnancy, subsequent patient-tailored care pathways, and consultations of professionals from different medical and social disciplines.MethodsSaunders's seven-step method was used for the development of a programme implementation monitoring plan, with specific attention to the setting and context of the programme. Data were triangulated from multiple sources, and prespecified criteria were applied to examine the evidence for implementation.ResultsSix out of 11 municipalities (54%) met the implementation criteria for the entire risk assessment programme, whereas three municipalities (27%) met the criteria if the three components of implementation were analysed separately.ConclusionsA process evaluation of implementation of a complex intervention is possible. The results can be used to improve understanding of the associations between specific programme elements and programme outcomes on effectiveness of the intervention. Additionally, the results are important for formative purposes to assess how future implementation of antenatal risk assessment can be improved in comparable contexts.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Public Health - Volume 150, September 2017, Pages 112-120
نویسندگان
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