评估英格兰新兴综合护理系统管理和质量改善方面的进展
Mirza Lalani1, Priya Sugavanam2, James Caiels3
1Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Journal of health services research & policy
|November 1, 2023
概括
英格兰英格兰英格兰英格兰.
科学领域:
- 医疗保健管理和政策
- 提高质量 提高科学 提高质量
- 公共卫生系统 公共卫生系统
背景情况:
- 英国在2022年启动了一项重大卫生和护理系统重组,建立了综合护理系统 (ICS).
- 国际医疗系统的目标是通过基于证据的服务来提高人口健康和护理质量.
- 质量管理系统 (QMS) 框架为组织质量管理提供了一个结构化的方法.
研究的目的:
- 评估综合护理系统 (ICS) 如何管理和提高质量.
- 评估ICSs.s.内部的质量管理系统 (QMS) 框架的应用.
- 了解新的ICS结构中质量改善的挑战和推动因素.
主要方法:
- 针对四个综合护理系统 (ICS) 进行了有目的的抽样.
- 通过与60名系统领导者进行半结构化采访和关键会议的观察 (2021年11月至2022年5月) 来收集数据.
- 基于质量管理系统 (QMS) 框架的专题框架分析.
主要成果:
- ICS优先考虑人口健康,减少不平等,改善获取,从传统的临床质量重点转移.
- 质量保证和改进之间存在紧张关系,人们担心狭的质量保证重点可能会阻碍解决不平等等更广泛的问题.
- 伙伴关系对于整合和质量提高至关重要,但前所未有的系统压力可能会抑制进步.
结论:
- ICS在实现其质量和人口健康雄心壮志方面的成功仍然不确定.
- 需要从以保证为主导的质量模型过渡到强调开放性,学习和改进的质量模型.
- 成功实施需要同时开发数字基础设施,员工专业知识和支持性的组织文化.
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