基于RE-AIM框架的实施结局指标制订方法  

Method of using RE-AIM framework to develop implementation outcome indicators

作　　者：吕森森 蔡毅媛[2] 何文俊 蔡业峰[3] 倪小佳[3] 骆焕园 钟冬梅 刘思源 赵青 张兰萍 李嘉琪 陈晓珊 谢昀筠 李春萍 黄婉晴 徐东 LV Sensen;CAI Yiyuan;HE Wenjun;CAI Yefeng;NI Xiaojia;LUO Huanyuan;ZHONG Dongmei;LIU Siyuan;ZHAO Qing;ZHANG Lanping;LI Jiaqi;CHEN Xiaoshan;XIE Yunyun;LI Chunping;HUANG Wanqing;XU Dong(Acacia Lab for Implementation Science,School of Health Management,Southern Medical University,Guangzhou 510515,P.R.China;School of Public Health,Guizhou Medical University,Guiyang 550000,P.R.China;Provincial Hospital of Chinese Medicine,Guangzhou 510120,P.R.China;Center for World Health Organization Studies and Department of Health Management,School of Health Management of Southern Medical University,Guangzhou 510515,P.R.China;Institute for Global Health,Dermatology Hospital of Southern Medical University,Guangzhou 510515,P.R.China)

机构地区：[1]南方医科大学卫生管理学院卫生管理系Acacia实施科学实验室,广州510515 [2]贵州医科大学公共卫生与健康学院,贵阳550000 [3]广东省中医院,广州510120 [4]南方医科大学世界卫生组织研究中心,广州510515 [5]南方医科大学皮肤病医院全球健康研究中心,广州510515

出　　处：《中国循证医学杂志》2023年第6期695-701,共7页Chinese Journal of Evidence-based Medicine

基　　金：瑞士国际发展和合作署(SDC)国际课题项目(编号:81067392)。

摘　　要：RE-AIM框架是实施性研究结局评估最常用框架,原始论文已被引用2800次。然而,在该框架具体研究的操作过程中,常出现各维度和指标误用或滥用的情况。本文详细介绍RE-AIM框架的主要内容、应用场景和特点,并以《中西医结合治疗脑卒中的疗效与风险循证实践指南》实施性研究为例,介绍如何借助改良德尔菲法和名义小组技术融合而成的静默和匿名反馈技术构建实施结局指标评估体系,以实现RE-AIM框架的可操作化。以期为其他研究者利用实施科学理论、模型和框架制订实施计划或评估实施结局提供参考。The RE-AIM framework is the most commonly used framework for implementation research outcome evaluation,with the original paper cited 2800 times.However,in the specific operationalization process of the framework,there are often situations of misuse or overuse of various dimensions and indicators.This article provides a detailed introduction to the main content,application scenarios,and characteristics of the RE-AIM framework.Taking the implementation research of Evidence-based Practice Guidelines for Integrated Traditional Chinese and Western Medicine Treatment of Stroke as an example,it introduces how to use the silent&anonymous feedback technology,which combines the improved Delphi method and nominal group technique,to construct an implementation outcome indicator evaluation system to achieve the operability of the RE-AIM framework.This will provide a reference for other researchers to use implementation science theories,models,and frameworks to develop implementation plans or evaluate implementation outcomes.

关 键 词：实施科学 实施性研究 循证实践 RE-AIM框架 指南 

分 类 号：R-03[医药卫生]