股权和绩效改进:一套新的工具使得使用股权使得违约成为常规
Joint Commission journal on quality and patient safety
|December 7, 2023
概括
一个新的质量改进 (QI) 工具包将多样性,公平,包容 (DEI) 和健康的社会决定因素 (SDOH) 整合到医疗保健项目中. 这种方法显著增加了DEI和SDOH考虑在QI倡议中的纳入.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 健康 公平 研究 健康 公平 研究
背景情况:
- 目前的绩效改进方法缺乏分析偏见,不平等和健康的社会决定因素 (SDOH) 对结果的影响的结构.
- 将多样性,公平性和包容性 (DEI) 与SDOH相结合,对于全面改善医疗保健至关重要.
研究的目的:
- 开发和评估一种新的质量改进 (QI) 工具包,将DEI和SDOH的考虑纳入现有的QI框架.
- 评估DEI和SDOH集成的QI工具包对项目实践的影响.
主要方法:
- 开发了一个QI工具包,将DEI和SDOH纳入标准QI工具 (章程,鱼骨图,PDSA工作表).
- 在工具包实施之前和之后对QI项目进行了前后分析.
- 使用项目数据量化了DEI/SDOH在QI项目中的整合.
主要成果:
- 在工具包之前,只有22.9%的QI项目 (2016-2021) 包含DEI/SDOH.
- 在2022年工具包实施后,88.9%的QI项目包含DEI/SDOH.
- 在QI中,DEI和SDOH的系统考虑显著增加.
结论:
- 新的QI工具包有效地将DEI和SDOH整合到医疗保健改进项目中.
- 本工具包提供了一种实用方法,将DEI和SDOH的考虑因素"硬化"到QI流程中.
- 这些发现突出了通过QI推进健康公平的广泛采用潜力.
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