改善医疗保健质量:需要宏观系统方法
1The Dartmouth Institute and Biomedical Data Science, Geisel School of Medicine at Dartmouth Department of Computer Science, Dartmouth College, Hanover, NH, USA.
概括
专为急性问题而设计的医疗保健系统,与慢性疾病作斗争. 重新设计质量改善流程,重点关注宏观系统,对于更好的慢性护理提供至关重要.
科学领域:
- 医疗保健系统 医疗保健系统
- 提高质量 提高质量
- 慢性疾病管理 慢性疾病管理
背景情况:
- 医疗保健系统的结构是针对急性疾病,但现在主要用于管理慢性疾病.
- 目前的医疗保健提供系统是复杂的遗留系统,并未设计用于协调的纵向护理.
- 护理的分散性阻碍了慢性病的有效管理.
研究的目的:
- 描述医疗保健质量改善 (QI) 的概念框架.
- 在复杂的医疗保健系统中分析当前的微观和宏观水平的QI方法.
- 识别现有的QI流程的局限性,并倡导宏观系统方法.
主要方法:
- 质量改进概念框架的审查和应用.
- 分析现有的微观和宏观水平的QI策略.
- 识别当前医疗保健质量改善中的系统性局限性.
主要成果:
- 当前的医疗保健系统在为慢性疾病提供协调护理方面面临挑战.
- 现有的质量改进方法存在局限性,特别是在宏观层面.
- 对传统系统而言,重新设计质量改进过程比新系统设计更合适.
结论:
- 复杂的传统医疗保健系统需要大幅提高质量,特别是慢性疾病管理.
- 宏观系统方法是必要的,以解决当前质量改进过程的局限性.
- 重新设计质量改进对于在不断变化的医疗保健环境中增强患者护理至关重要.
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