参与初级保健质量改善研究的减少:一种定性研究
Megan McHugh1, Jennifer Heinrich2, Sarah Philbin3
1Center for Health Services and Outcomes Research, Feinberg School of Medicine, Northwestern University, Chicago, Illinois Megan-mchugh@northwestern.edu.
由于人员短缺和时间限制,初级保健实践下降了质量改进 (QI) 项目参与,由大流行恶化. 在基于证据的实践实施中,解决这些核心问题对于未来的招聘成功至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 提高质量 提高科学 提高质量
背景情况:
- 在初级保健中实施基于证据的实践依赖于质量改进 (QI) 项目.
- 招募医生实践QI举措往往是具有挑战性的,资源密集型和耗时的.
研究的目的:
- 找出为什么初级保健实践拒绝参与QI项目的原因.
- 探索提高未来QI项目的可行性和吸引力的策略.
主要方法:
- 一项定性研究,包括采访和问卷调查,与拒绝参与的实践代表进行.
- 用专题分析分析了31名实践代表的定性数据.
主要成果:
- 员工流动,短缺和时间限制 (由流行病加剧) 是不参与的主要原因.
- 其次要的原因包括电子健康记录的挑战,希望获得更大的经济补偿,以及对当前做法的信心.
- 受访者建议将参与与基于价值的计划联系起来,并增加薪酬,但这些并没有解决核心人员/时间问题.
结论:
- 与疫情相关的员工挑战和时间限制显著阻碍了初级保健实践在QI研究中的参与.
- 政策干预应侧重于直接支持初级保健,以减轻倦怠和提高QA参与能力.
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