基于实施性研究综合框架的综合医院推动缓和医疗建设的角色、作用和要素分析OA
Roles,Effects,and Elements of Palliative Care Development in General Hospitals Based on the Consolidated Framework for Implementation Research
目的 基于实施性研究综合框架(CFIR),分析北京协和医院在推动缓和医疗建设过程中的角色、作用及关键要素,为其他综合医院开展缓和医疗提供参考.方法 采用半结构式访谈法和观察法收集资料,依照CFIR框架对资料进行分析编码.结果 共书写观察日记35 000 余字,访谈对象 11 名.提炼出64 个编码,归纳为创新、外部因素、内部因素、个体领域和实施过程5 个领域内的26 个条目.结论 北京协和医院的缓和医疗工作要素具有较大的可推广性,能够帮助综合医院探索适合自身情况的缓和医疗工作模式.
Objective To analyze the roles,effects,and key elements of palliative care development in Peking Union Medical College Hospital based on the Consolidated Framework for Implementation Research(CFIR),thus providing a reference for the development of palliative care in other general hospitals.Methods Semi-structured interviews and observation were employed to collect data,which were analyzed and coded in ac-cordance with the CFIR.Results More than 35 000 words were written in the observation diary and 11 subjects were interviewed.A total of 64 codes were extracted,which were categorized into 26 entries in five domains:in-novation,external factors,internal factors,individual domains,and implementation process.Conclusion The palliative care model of Peking Union Medical College Hospital has a high degree of generalizability,and it can help general hospitals to explore a palliative care model that is suitable for their own situation.
曾耀鑫;王梓丹;岳鹏;宁晓红;郑莹;戴晓艳;杜铁宽;贾之萌
中国医学科学院北京协和医学院 北京协和医院缓和医学中心,北京 100730首都医科大学护理学院,北京 100069首都医科大学护理学院,北京 100069中国医学科学院北京协和医学院 北京协和医院缓和医学中心,北京 100730中国医学科学院北京协和医学院 北京协和医院缓和医学中心,北京 100730中国医学科学院北京协和医学院 北京协和医院国际医疗部,北京 100730中国医学科学院北京协和医学院 北京协和医院缓和医学中心,北京 100730多伦多西奈山医院Temmy Latner姑息关怀中心,多伦多M5T3L9
医药卫生
缓和医学安宁疗护实施性研究综合框架实施性研究工作模式
palliative medicinehospice careConsolidated Framework for Implementation Researchimplementation studyworking model
《中国医学科学院学报》 2026 (1)
73-80,8
北京协和医学基金会舒缓医学基金建信信托-2022安宁长生慈善信托(CCBT-CFGLSYB-ANCS-1)
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