SwePub
Sök i LIBRIS databas

  Utökad sökning

WFRF:(Elmer E.)
 

Sökning: WFRF:(Elmer E.) > Health system conte...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00006219naa a2200661 4500
001oai:DiVA.org:uu-261955
003SwePub
008150907s2015 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:131791464
009oai:DiVA.org:du-19246
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2619552 URI
0247 a https://doi.org/10.1186/s13012-015-0305-22 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1317914642 URI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:du-192462 URI
040 a (SwePub)uud (SwePub)kid (SwePub)du
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Bergström, Annau Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH)4 aut0 (Swepub:uu)annbe648
2451 0a Health system context and implementation of evidence-based practices-development and validation of the Context Assessment for Community Health (COACH) tool for low- and middle-income settings
264 c 2015-08-15
264 1b Springer Science and Business Media LLC,c 2015
338 a electronic2 rdacarrier
520 a Background: The gap between what is known and what is practiced results in health service users not benefitting from advances in healthcare, and in unnecessary costs. A supportive context is considered a key element for successful implementation of evidence-based practices (EBP). There were no tools available for the systematic mapping of aspects of organizational context influencing the implementation of EBPs in low- and middle-income countries (LMICs). Thus, this project aimed to develop and psychometrically validate a tool for this purpose. Methods: The development of the Context Assessment for Community Health (COACH) tool was premised on the context dimension in the Promoting Action on Research Implementation in Health Services framework, and is a derivative product of the Alberta Context Tool. Its development was undertaken in Bangladesh, Vietnam, Uganda, South Africa and Nicaragua in six phases: (1) defining dimensions and draft tool development, (2) content validity amongst in-country expert panels, (3) content validity amongst international experts, (4) response process validity, (5) translation and (6) evaluation of psychometric properties amongst 690 health workers in the five countries. Results: The tool was validated for use amongst physicians, nurse/midwives and community health workers. The six phases of development resulted in a good fit between the theoretical dimensions of the COACH tool and its psychometric properties. The tool has 49 items measuring eight aspects of context: Resources, Community engagement, Commitment to work, Informal payment, Leadership, Work culture, Monitoring services for action and Sources of knowledge. Conclusions: Aspects of organizational context that were identified as influencing the implementation of EBPs in high-income settings were also found to be relevant in LMICs. However, there were additional aspects of context of relevance in LMICs specifically Resources, Community engagement, Commitment to work and Informal payment. Use of the COACH tool will allow for systematic description of the local healthcare context prior implementing healthcare interventions to allow for tailoring implementation strategies or as part of the evaluation of implementing healthcare interventions and thus allow for deeper insights into the process of implementing EBPs in LMICs.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskap0 (SwePub)3032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciences0 (SwePub)3032 hsv//eng
653 a Hälsa och välfärd
7001 a Skeen, Sarahu Karolinska Institutet4 aut
7001 a Duc, Duong M.u Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH)4 aut0 (Swepub:uu)matma534
7001 a Blandon, Elmer Zelaya4 aut
7001 a Estabrooks, Carole4 aut
7001 a Gustavsson, Petteru Karolinska Institutet4 aut
7001 a Hoa, Dinh Thi Phuong4 aut
7001 a Kallestal, Carina4 aut
7001 a Målqvist, Matsu Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH)4 aut0 (Swepub:uu)matma534
7001 a Nga, Nguyen Thu4 aut
7001 a Persson, Lars-Åkeu Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH)4 aut0 (Swepub:uu)laper499
7001 a Pervin, Jesmin4 aut
7001 a Peterson, Stefan Swartlingu Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH)4 aut0 (Swepub:uu)stefanps
7001 a Rahman, Anisur4 aut
7001 a Selling, Katarinau Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH)4 aut0 (Swepub:uu)katse272
7001 a Squires, Janet E.4 aut
7001 a Tomlinson, Mark4 aut
7001 a Waiswa, Peteru Karolinska Institutet4 aut
7001 a Wallin, Larsu Högskolan Dalarna,Karolinska Institutet,Omvårdnad4 aut0 (Swepub:du)lwa
7102 a Uppsala universitetb Internationell mödra- och barnhälsovård (IMCH)4 org
7730 t Implementation Scienced : Springer Science and Business Media LLCg 10q 10x 1748-5908
8564 u https://doi.org/10.1186/s13012-015-0305-2y Fulltext
8564 u https://uu.diva-portal.org/smash/get/diva2:852600/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://implementationscience.biomedcentral.com/track/pdf/10.1186/s13012-015-0305-2
8564 u https://du.diva-portal.org/smash/get/diva2:851235/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-261955
8564 8u https://doi.org/10.1186/s13012-015-0305-2
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:131791464
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:du-19246

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy