一项关于澳大利亚心脏康复计划患者数据采集,管理和报告实践的全国调查
Robyn Gallagher1, Susie Cartledge2, Clara Zwack1
1Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Heart, lung & circulation
|October 27, 2023
概括
澳大利亚的心脏康复计划显示数据收集多样化,影响质量改善. 建议采用国家级,低负担的数据采集方法,以改善基准测试和临床实践.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 有限的服务数据阻碍了对澳大利亚心脏康复计划交付,基准测试和质量改进的理解.
- 目前在澳大利亚心脏康复计划中的现行实践,管理和质量指标的利用尚未得到充分理解.
研究的目的:
- 描述澳大利亚心脏康复计划中数据收集和管理的当前做法.
- 评估这些计划中国家质量指标的使用和参与.
- 识别与使用服务数据用于质量改进相关的因素.
主要方法:
- 对396名心脏康复项目协调员进行了全国性调查.
- 评估了数据采集方法,管理系统和采用国家质量指标.
- 后勤回归被用来识别用于质量改进的数据使用预测因素.
主要成果:
- 81%的协调员完成了调查,揭示了各种数据管理系统 (电子,纸质或混合).
- 虽然84%的人知道国家质量指标,但只有52%的人使用它们.
- 数据主要用于报告和质量改进,更高的入学率 (>200) 与提高质量改进数据使用的增加有关.
结论:
- 心脏康复服务数据的各种收集和证明限制了基准测试和临床实践的进步.
- 需要一个国家,低负担的数据采集战略,以提高护理质量.
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