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成功的变革管理策略 改善糖尿病护理交付在高绩效实践中
Kevin A Peterson1, Leif I Solberg2, Caroline S Carlin3
1Department of Family Medicine and Community Health, UMN Medical School, University of Minnesota, Minneapolis, Minnesota Peter223@umn.edu.
Annals of family medicine
|September 25, 2023
概括
顶级的初级保健实践使用特定的策略来管理糖尿病护理改善期间的变化. 关键策略包括标准化护理,增强团队和改进报告系统,以获得更好的结果.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高质量
- 糖尿病 护理 糖尿病 护理
背景情况:
- 有效的变革管理对于改善医疗保健服务至关重要,特别是在慢性疾病管理方面.
- 在实施糖尿病等疾病的新护理模式时,初级保健实践面临着独特的挑战.
研究的目的:
- 识别和分析在糖尿病护理提供中,表现最好的初级保健实践所采用的变化管理策略.
- 了解这些实践如何成功地实施改善糖尿病护理的方法.
主要方法:
- 一项涉及330个初级保健实践的研究,根据最佳糖尿病护理表现和年度改进排名.
- 从高绩效实践中对领导人的采访进行定性分析,以确定变革管理策略.
- 对面试成绩单进行主题分析,以对护理管理概念和战略方法进行分类.
主要成果:
- 从采访10个表现最好的实践中确定了13种不同的变革管理策略.
- 最常见的策略包括标准化护理流程,提高绩效意识,加强护理团队和改进报告系统.
- 关键护理管理主题是主动护理,改善患者关系和预期规划.
结论:
- 高效的实践采用了一系列一致的策略来管理在质量改进计划期间的变化.
- 这些已识别的变化管理策略建议用于改善糖尿病和潜在的其他慢性疾病管理的实践.
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