在COVID-19大流行背景下医院绩效评估清单:设计和验证
Abbas Salarvand1, Amir Khoshvaghti2, Simintaj Sharififar3
1Department of Health Management and Economics, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.
Disaster medicine and public health preparedness
|December 7, 2023
概括
这项研究开发了一份有效的检查清单,用于评估COVID-19大流行期间的医院绩效. 检查清单有助于识别强项和弱项,以改善疫情应对.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 流行病对全球健康构成重大威胁,需要强有力的医院准备.
- 医院在疫情应对和管理中发挥着至关重要的作用.
- 疫情期间对医院绩效的有效评估对公共卫生至关重要.
研究的目的:
- 设计和开发一个有效的检查清单,以评估COVID-19大流行期间的医院绩效.
- 为评估医疗保健机构的流行病应对能力提供一种新的工具.
- 建立医院准备和响应有效性的基准.
主要方法:
- 混合方法研究设计分为三个阶段进行:概念模型设计,检查清单结构开发和心理测量评估.
- 利用已知组方法,通过将COVID-19医院与其他医院进行比较来评估构造有效性.
- 采用了统计分析,包括独立的t测试和皮尔森相关系数.
主要成果:
- 开发了一个包含6个域名,23个子域名和152个初始项目的综合性检查清单,通过内容有效性评估进行了细化 (CVR=0.94,CVI=0.79).
- 在COVID-19医院和其他医院之间观察到绩效得分的显著差异 (P < 0.0001).
- 检查清单显示了高的内部一致性 (Cronbach的alpha=0.98) 和与现有措施的强烈相关性.
结论:
- 开发的检查清单是评估COVID-19大流行期间医院绩效的有效和可靠工具.
- 通过这个清单来确定医院的优势和弱点,可以为卫生政策制定者和医院管理人员提供信息.
- 改进的绩效评估可以提高医疗保健系统的弹性和应对未来的流行病.
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