家庭医学部门的质量改善能力:一种混合方法研究
Lauren Oshman1, Taylor Walton2, Paul Schultz3
1Department of Family Medicine, University of Michigan Medical School, Ann Arbor, MI | Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI.
PRiMER (Leawood, Kan.)
|July 19, 2023
概括
发展质量改进 (QI) 能力需要领导力承诺和QI知识. 关键的促进因素包括对高质量的护理的激励,而障碍则涉及竞争的优先事项和缺乏专业知识,这表明有针对性的干预措施可以增强QI努力.
科学领域:
- 医疗教育 医学教育
- 改善医疗保健质量 改善医疗保健质量
- 家庭医学 家庭医学 家庭医学
背景情况:
- 质量改善 (QI) 能力对于持续的医疗保健卓越至关重要.
- 它需要领导层的认同和员工对QI方法的参与.
- 这项研究侧重于家庭医学教学实践.
研究的目的:
- 确定开发QA能力的关键促进者和障碍者.
- 在学术医疗环境中,为增强QI努力制定策略.
主要方法:
- 采用了一种探索性,顺序性的混合方法设计.
- 与关键告密者进行了定性采访.
- 随后的一项调查评估了教师,居民和工作人员的观点.
主要成果:
- 促进者包括对高质量的护理和利用以团队为基础的方法的强烈动机.
- 障碍包括竞争的临床/教育优先事项,有限的QI专业知识和QI奖学金的基础设施不足.
- 调查结果强调"做出改变"是主要的动机,患者护理和教学是最大的障碍.
结论:
- 解决相互竞争的优先事项对于QA能力至关重要.
- 建议加强QI培训和QI奖学金的基础设施.
- 这些干预措施可以显著提高教学实践中的QI能力.
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