影响医生行为的医生质量改善领导联盟的因素:混合方法研究
Pamela Mathura1,2, Sandra Marini3, Reidar Hagtvedt4
1Department of Medicine, University of Alberta Hospital, Edmonton, Alberta, Canada pam.mathura@ahs.ca.
一项质量改进计划成功地减少了医院实验室测试的过度使用,特别是血尿素 (BUN) 订购,通过有针对性的支持和清晰的沟通来吸引医生. 这导致了显著的成本节约,并改善了医生参与质量改进工作的情况.
科学领域:
- 医疗保健管理的管理
- 改善临床质量 改善临床质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医院实验室测试过度使用,特别是重复的血液尿素 (BUN) 订购,被医生质量改进 (QI) 联盟确定为优先事项.
- 为了解决这个问题,在加拿大一个省份制定并实施了一项多元组件倡议.
研究的目的:
- 确定联盟中的因素,使医学和急诊部 (ED) 医生能够领导,参与并影响适当的BUN测试订单.
主要方法:
- 使用了一种顺序解释混合方法方法,将BUN测试订单数据的定量分析与定性采访相结合.
- 定量数据包括每月的BUN测试量,成本规避计算和中断时间序列分析.
- 定性数据涉及结构化的虚拟访谈,使用理论领域框架和行为变化轮进行分析.
主要成果:
- 在6个医院医疗计划中的5个和两个ED中,每个月订购BUN测试的显著减少 (33%至76%) 观察到.
- 该倡议导致大幅度的每月成本避免,从CAN$900到CAN$7285.5不等.
- 医生报告了类似的看法关于联盟特征,促进了QI参与和影响了BUN测试减少.
结论:
- 通过简单的倡议设计,医生领导,指导,充分支持,QI教育,最小的努力和没有工作流程中断,医生对领导和参与QI的信心得到了增强.
- 成功实施以人为本和以系统为本的组件,加上可信的医生沟通,推动了适当的BUN测试订单.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
相关概念视频
Factors Affecting Illness
For instance, risk factors are connected to illness,...
Obedience
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Dimensions of Health and Illness
Lifestyle Factors and Health
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
