医生专业委员会认证地位在质量运动中的作用
Troyen A Brennan1, Ralph I Horwitz, F Daniel Duffy
1American Board of Internal Medicine, Philadelphia, Pa, USA. tabrennan@partners.org
JAMA
|September 2, 2004
概括
医生董事会认证地位是提高医疗质量的重要措施. 证据表明,它与能力和患者安全有关,公众强烈支持医生持续重新评估.
科学领域:
- 改善医疗质量 改善医疗质量
- 医生能力评估 医生能力评估
背景情况:
- 医学研究所倡导基于系统的方法来提高医疗保健质量.
- 医生委员会认证在质量改进中的作用需要进一步审查.
研究的目的:
- 总结有关当前医生委员会认证地位在质量改进举措中的意义的证据和理论.
- 探索董事会认证,医生能力和患者结果之间的联系.
主要方法:
- 审查关于船上认证有效性的证据,包括测试,能力相关性和临床结果.
- 错误预防理论应用于医疗保健,将其与董事会认证所需的行为联系起来.
- 分析盖洛普民意调查数据,以了解公众对医生认证和持续能力的看法.
主要成果:
- 董事会认证的有效性得到了测试过程的支持,与医生的能力和临床结果相关联.
- 通过利用根深蒂固的行为习惯来提高患者的安全性,类似于为董事会认证开发的行为习惯.
- 公众高度重视医生认证和维持认证,希望更频繁地对医生资格进行重新评估.
结论:
- 医生董事会认证地位是医疗质量改善运动的关键,基于证据的措施.
- 持续评估医生的能力,包括认证状态,对于提高患者安全和护理质量至关重要.
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