通过技术,临床,组织和社会创新优化护理途径:质量研究
Jean-Baptiste Gartner1,2,3,4,5,6, André Côté1,2,3,4,5,6
1Département de management, Faculté des sciences de l'administration, Université Laval, Québec, QC, Canada.
Health services insights
|November 13, 2023
概括
实施护理途径可以改善医疗保健协调并降低成本. 这项研究开发了一个模型,解释了影响途径创新的因素,强调患者与合作伙伴的参与,以获得更好的结果.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 医疗保健系统面临着重新设计服务以实现更好的协调和成本效益的压力.
- 护理途径提供了一个框架来减少碎片化,但存在实施挑战.
- 可变结果突出了护理途径作为干预措施的复杂性.
研究的目的:
- 开发一个模型,解释影响护理途径创新实施的因素.
- 确定促进者,障碍物和条件,以成功采用护理途径创新.
- 探索患者与合作伙伴积极参与护理途径发展的影响.
主要方法:
- 一个试点项目,利用行动研究和基础理论方法.
- 导入过程:理论抽样,42次采访和60次参与者观察.
- 对定性数据进行主题分析,包括日志和现场笔记.
主要成果:
- 开发了一个模型,详细介绍了促进因素,采用条件,推动因素和障碍因素之间的相互作用.
- 患者与合作伙伴参与决策,数据收集和解决方案构建成为一个新的,有影响力的元素.
- 该试点项目产生了对该方法未来扩展和传播的期望.
结论:
- 开发的模型为成功实施护理途径创新提供了洞察力.
- 积极的患者合作伙伴参与对于实现以患者为导向的结果至关重要.
- 需要进一步的研究来完善实施框架,并评估多因素影响.
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