探索医生参与医疗保健组织:一个范围审查
Anna Prenestini1, Rocco Palumbo2, Roberto Grilli3
1Department of Economics, Management and Quantitative Methods (DEMM) and Center of Research and Advanced Education in Health Administration (CRC HEAD), Università Degli Studi Di Milano, Milan, Italy. anna.prenestini@unimi.it.
BMC health services research
|September 25, 2023
概括
医生参与对医疗保健系统至关重要,但仍然不清楚定义. 需要进一步的研究来确定其驱动因素,测量工具以及对组织绩效和患者安全的影响.
科学领域:
- 医疗服务管理 医疗服务管理
- 组织行为 组织行为
- 医学教育 医学教育
背景情况:
- 提高卫生系统的有效性,效率和适当性是全球管理的优先事项.
- 医生参与被认为是实现这些结果的关键策略.
研究的目的:
- 为了定义医生参与.
- 确定影响医生参与的因素.
- 探索医生参与对组织绩效,质量和安全的影响.
- 讨论测量医生参与度的工具.
主要方法:
- 进行了全面的范围审查.
- 用电子数据库和雪球技术进行文献搜索.
- 范围审查的PRISMA扩展 (PRISMA-ScR) 指导了该方法.
主要成果:
- 在对16000多份初始记录进行选后,该审查确定了174份相关记录.
- 关于医生参与的定义和测量,只有有限的共识.
- 对实施医生参与策略的经验证据很少.
结论:
- 医生参与是一个定义不良的概念,需要进一步研究.
- 需要基于证据的指导来促进医生参与,以改善医疗管理.
- 未来的研究应该集中在识别驱动因素,开发评估工具,并评估医生参与的影响.
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