基于网络的比较研究,对一些国家在医疗保健质量管理方面的经验进行比较研究
Labante Outcha Dare1, François Champagne1, Jean-Louis Denis1,2
1School of Public Health of Université de Montréal (ESPUM) - Département de gestion, d'évaluation et de politique de santé (DGEPS), Montreal, Québec, Canada.
国家质量改进战略对于更安全的医疗保健至关重要. 这项研究发现,具有更多自我监管的质量管理职能的国家,特别是模型1的国家,往往有更好的医疗保健质量结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 比较健康政策的比较健康政策
- 医疗保健中的质量管理
背景情况:
- 医疗保健中的不良事件需要强有力的国家质量改善战略.
- 了解不同国家如何构建这些战略对于改善全球卫生系统至关重要.
研究的目的:
- 为了比较分析国际医疗保健质量管理功能.
- 评估这些职能的组织分布和接近卫生部 (MoH) 的情况.
- 将质量管理结构与国家医疗保健质量指标相关联.
主要方法:
- 一个基于网络的对13个选定的国家/地区进行比较研究.
- 定义了七个关键的医疗保健质量管理功能.
- 评估职能集中度 (单个与多个组织) 和与卫生部的距离.
- 与经合组织医疗保健指标相关联的发现.
主要成果:
- 荷兰,北克 (加拿大),韩国,德国,英国和美国显示,自主监管机构管理的质量职能超过50%.
- 市场度指数差异很大,从937 (美国) 到6800 (俄罗斯).
- 确定了两种不同的卫生系统模型;模型1与更高的护理质量相关.
结论:
- 医疗保健系统结构,特别是自我监管组织在质量管理中的作用,影响医疗保健质量.
- 结果为设计有效的国家医疗保健质量改善战略提供了洞察力.
- 具有特定质量管理结构的模型1卫生系统与优越的医疗保健质量有关.
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