实施私人医疗保健设施质量改善倡议,以获得认证:印度的经验
Tapas Sadasivan Nair1, Parvez Memon1, Sanjay Tripathi2
1Jhpiego - an affiliate of Johns Hopkins University, Prius Platinum, A Wing, 5th Floor, D3, P3B, Saket District Centre, Sector 6, Saket, New Delhi, Delhi, 110017, India.
BMC health services research
|July 27, 2023
概括
马尼阿塔计划显著提高了印度私人产科机构的护理质量,将国家医院和医疗保健提供者认证委员会 (NABH) 标准的遵守率从9%提高到80%. 关键的改进包括文件编制和员工培训,以获得认证.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 孕产妇保健标准 孕产妇保健标准
背景情况:
- 马尼阿塔计划是印度提供产妇护理的私人医疗机构的质量改进计划.
- 为那些寻求从国家医院和医疗保健提供者认证委员会 (NABH) 获得入门级认证的设施提供技术援助.
研究的目的:
- 描述根据NABH标准评估的Manyata支持设施的护理质量的变化.
- 确定业绩差距,并建议NABH认证的纠正措施.
主要方法:
- 在2017年8月至2019年2月期间,Uttar Pradesh,Jharkhand和Maharashtra的28个私人设施接受了NABH评估.
- 项目工作人员的基线评估与官方NABH评估进行了比较,以评估质量变化.
- 绩效差距按主题分类,根据计划经验建议采取纠正措施.
主要成果:
- 根据NABH评估,NABH标准的整体遵守率从基线9%提高到80%.
- 在831个确定的绩效差距中,大多数与文档 (70%) 和员工培训 (19%) 有关.
- 纠正措施主要涉及修订/创建文档 (62%) 和工作人员对协议的指导 (35%).
结论:
- 通过Manyata计划,设施遵守NABH标准得到了大幅改善.
- 剩余的绩效差距,主要在文档和培训方面,需要进一步采取纠正措施,以便设施实现NABH入门级认证.
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