实施质量指标竞赛,以改善内部医学住院医生面板管理
Catherine Deffendall1, Christine Lopez2, Silas P Trumbo1,2,3,4,5
1is PGY-7 Rheumatology Fellow, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Journal of graduate medical education
|December 4, 2023
概括
一个新的课程通过经济激励的竞争提高了居民在初级保健指标上的表现. 该计划加强了癌症和糖尿病的患者查,证明了医疗教育质量改善的成功方法.
科学领域:
- 医学教育 医学教育
- 提高质量 提高质量
- 主要护理是指初级护理.
背景情况:
- 面板管理对于居民培训至关重要,但很难教授.
- 现有的文献缺乏对经济激励竞赛的描述,以提高居民初级保健指标.
研究的目的:
- 开发和评价一个面板管理课程,包括财务激励的质量竞争.
- 改善居民在关键初级保健质量指标上的表现.
主要方法:
- 针对内科医生进行了一项以癌症查和糖尿病指标为重点的质量竞赛.
- 居民接受了电子医疗记录 (EMR) 仪表板和面板管理策略的培训.
- 他们的表现得到了跟踪,表现最好的人获得了经济激励 (100美元的礼品卡).
主要成果:
- 居民在复合查指标中平均有1.9%的改善.
- 乳腺癌查率显著提高,从69.5%增加到75.6%.
- 在大多数措施中,除了HbA1c测试外,还发现了整体改善.
结论:
- 开发的课程成功地提高了居民小组中推的癌症和糖尿病查率.
- 经济激励的竞赛可以成为改善居民在初级保健质量指标中的表现的有效工具.
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