超越实施:一个集体案例研究,探讨在质量改进协作中可持续性的概念和促进者
Madelyn daSilva1, Melanie Dissanayake1, Shannon L Sibbald2
1Faculty of Health Sciences at Western University, 1151 Richmond St., London, Ontario N6A 3K7, Canada.
早期规划可持续性是慢性阻塞性肺病 (COPD) 宣传计划成功的关键. 这种方法还可以提高技能保留和知识转移,从而提高长期计划的有效性.
科学领域:
- 医疗保健管理的管理
- 公共卫生倡议 公共卫生倡议
- 慢性疾病管理 慢性疾病管理
背景情况:
- 慢性阻塞性肺病 (COPD) 在成人住院和医疗保健费用方面发挥了重要作用.
- 需要有效的策略来支持患者和提供者在整个COPD疾病轨迹.
- 启发性COPD外展计划TM是为了加强对晚期COPD患者的护理而开发的.
研究的目的:
- 探索影响INSPIRED COPD外展计划TM可持续性的早期规划和实践要素.
- 了解有助于COPD医疗干预措施长期成功的因素.
- 评估泛加拿大质量改进协作 (QIC) 的实施过程.
主要方法:
- 评估了19个加拿大团队的实施过程.
- 通过合作后的团队报告,焦点小组,采访和自我评价收集数据.
- 分析定性和定量数据以确定可持续性因素.
主要成果:
- 确定了促进可持续发展的三个关键阶段:促进实施,保持势头和确保长期可行性.
- 从一开始,积极的可持续发展规划与更高的项目可持续性成就相关.
- 可持续性规划还促进了项目扩展,技能保留和知识转移.
结论:
- 早期和综合的可持续发展规划对于COPD外展计划的长期成功至关重要.
- 质量改进协作可以有效地提高计划的可持续性和更广泛的技能发展.
- 这些发现强调了战略规划对慢性疾病管理计划持续影响的重要性.
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