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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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継続的な職業開発と継続的な教育と品質の向上を統合する:事例研究と実践への影響

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  • 1Dr. Arnold Rehring: Director, Department of Medical Education, Colorado Permanente Medical Group, Denver CO, and clinical professor, Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO. Dr. Steiner: Senior investigator, Institute for Health Research, Kaiser Permanente Colorado, Denver CO, and professor, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora CO. Dr. Wong: Professor, Department of Medicine, University of Toronto, and director, Centre for Quality Improvement and Patient Safety, Temerty Faculty of Medicine, University of Toronto, and Staff Physician, Division of General Internal Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Dr. Goldman: Assistant professor, Department of Medicine, and Scientist, Centre for Quality Improvement and Patient Safety and Wilson Centre for Research in Education, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

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まとめ

医療制度における継続的な専門的発達 (CPD) と品質改善 (QI) の取り組みを調整することで,持続的な実践の変化をもたらすことができます. カイザー・パーメンテ・コロラド

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科学分野:

  • 医療管理
  • 医学教育
  • 品質改善 科学

背景:

  • 継続的な専門的発達 (CPD) と品質改善 (QI) は,臨床実務と患者の成果を向上させることを目的としています.
  • CPD と QI の間の調整は推奨されますが,実践ではめったに実証されません.
  • カイザー・パーマネント・コロラドは 20年以上の経験を持ち CPDとQIを調整しています

研究 の 目的:

  • CPDとQIの連携が保健医療システム内でどのように開発され,維持されるかを示します.
  • カイザーパーメンテ コロラドのCPDとQIの連携に関するケーススタディを提供するためです.
  • このモデルを他の医療システムに 適用できる要素を特定する.

主な方法:

  • 省庁の報告構造の調整
  • インターディシピナリ教育チームの形成
  • 継続教育 (CE) の活動に質の問題を取り入れること
  • 意思決定支援ツールによるECの調整
  • 証拠に基づいた教育実践の適用

主要な成果:

  • 教育のユニークな組織文化の開発
  • 持続的な実践の変化の可能性を示した.
  • インタープロフェッショナル・チームや 変化の理論開発を含む 重要な移転可能な要素の特定
  • 評価のための教育と臨床データの利用

結論:

  • カイザー・パーメンテ・コロラドのモデルは,CPDとQIの専門家間の成功的な調整を例示しています.
  • この協調は臨床医の実践や 患者のケアや システムのパフォーマンスの改善を促します
  • このモデルの要素は,実践と成果の改善を目指す他の医療システムにも適用できる可能性がある.