同行学习比基于分数的同行评审更好,更便宜:在高等学术中心的初始经验
Daniel H Kwak1, Lindsay Yang1, Eileen Hu-Wang1
1Department of Radiology, The University of Chicago Medical Center, 5841 S. Maryland Ave, Chicago, IL 60637, United States of America.
Clinical imaging
|December 19, 2023
概括
放射科医生报告说,与传统的同行评审相比,新的同行学习计划具有显著更高的积极影响和更低的工作流程中断. 这种转变带来了大量的时间和成本节省,大多数参与者都更喜欢这种转变.
科学领域:
- 医疗质量改善 改善医疗质量
- 放射学同行评审 放射学同行评审
- 医学中的专业发展.
背景情况:
- 在放射学中,传统的基于分数的同行评审可以被认为是惩罚性的.
- 需要质量改进模型来提高学习和效率.
- 过渡到新的质量改进框架需要评估放射科医生的经验和看法.
研究的目的:
- 为了比较基于分数的同行评审和同行学习计划之间的放射科医生经验和感知.
- 评估同行学习与同行评审模型的时间成本效率.
- 评估一项新的质量改进计划对放射科医生的工作流程和满意度的影响.
主要方法:
- 高等学术中心的放射科医生 (N=27) 在过渡到同行学习计划之前和之后完成了利克特尺度调查.
- 曼-惠特尼U测试用于分析调查答案的差异.
- 多变量线性回归评估了影响程序偏好和时间成本效率的因素.
主要成果:
- 同行学习计划在积极影响方面获得了较高的评分,在工作流程中断方面获得了较低的评分.
- 70.4%的放射科医生更喜欢同行学习计划,而不是以前的同行评审系统.
- 同行学习计划证明了显著的时间和成本节省,估计超过1600美元/年/放射科医生直接工资成本,超过3400美元/年/放射科医生生产力.
结论:
- 同行学习模式,强调非惩罚性反,被放射科医生积极看待.
- 过渡到同行学习计划导致了大量的隐性直接时间成本节省.
- 同行学习为放射学质量改进提供了比传统的基于分数的同行评审更有效和更受欢迎的替代方案.
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