"目的是不要互相指责":一项定性研究,探讨埃塞俄比亚质量改善协作机构的协作是如何体验的
Zelee Hill1, Dorka Keraga2, Abiyou Kiflie Alemayehu3
1Institute for Global Health, University College London, Guilford St, WC1N 1EH, London, United Kingdom. z.hill@ucl.ac.uk.
Health research policy and systems
|June 13, 2023
概括
在埃塞俄比亚,在质量改进合作中合作是有价值的,但需要明确的支持和更好的知识转移. 挑战包括层次结构,工作量和员工流动,影响可持续性和更广泛的参与.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
背景情况:
- 质量改善协作广泛用于提高医疗保健质量.
- 它们的有效性取决于设施间和设施内部的协作.
- 由于广泛使用,了解合作转移到低收入环境至关重要.
研究的目的:
- 探索在埃塞俄比亚的质量改善协作机构中的协作动态.
- 识别低收入环境中有效合作的促进者和障碍者.
主要方法:
- 采用42次与医疗保健工作人员和质量改进导师进行深入采访的定性研究.
- 使用演和归纳方法进行主题分析.
主要成果:
- 通过经验分享和同行支持,在学习课程中发生了合作,与以前的责怪环境形成鲜明对比.
- 新的设施间关系促进了实际支持,而设施内部的合作则在导师支持下在计划-做-研究-行动周期中持续存在.
- 员工参加学习课程的数量有限,设施内知识转移不佳,阻碍了更广泛的参与,并导致了怨恨.
- 团队工作的改进主要是在个人层面,引发了可持续性问题.
- 挑战包括不平等的参与,知识差距,高工作量,员工流动和依赖.
结论:
- 在埃塞俄比亚的等级卫生系统中,合作是可行的和有价值的,需要在学习期间和从导师那里得到明确的支持.
- 加强对知识转移,参与和系统层面的变革的关注对于可持续性至关重要.
- 建议修改合作设计,为知识传播提供设施级支持.
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