医疗保健质量改进项目的决策者角色:范围审查
Justin Gagnon1, Mylaine Breton2, Isabelle Gaboury3
1Department of Community Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada justin.gagnon@mail.mcgill.ca.
BMJ open quality
|January 4, 2024
概括
让决策者参与医疗保健质量改善 (QI) 项目可以提高成功率. 本综述概述了它们的各种角色,好处和挑战,强调合作以获得更好的结果.
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
- 提高质量 提高科学 提高质量
背景情况:
- 医疗保健质量改善 (QI) 项目从决策者参与中受益.
- 关于有效地让决策者参与QI的指导是有限的.
- 了解决策者角色对于QI项目成功至关重要.
研究的目的:
- 在已发表的文献中确定涉及决策者的QI项目.
- 描述决策者在这些项目中所扮演的具体角色.
- 分析决策者参与QI的优势和挑战.
主要方法:
- 根据乔安娜·布里格斯研究所框架进行的范围审查.
- 在EMBASE,PubMed,PsycINFO和CINAHL (2002-2023) 的系统搜索.
- 包括涉及地方,区域或系统级决策者的卫生部门QI项目;进行描述性分析.
主要成果:
- 包括29个参考文献,详细介绍了参与决策者的QI项目.
- 当地决策者积极参与规划和实施.
- 区域决策者经常发起,支持和提供战略方向.
结论:
- 决策者参与QI产生了诸如相互学习,买入和资源分配等好处.
- 挑战包括时间限制和调整问题,需要改进协作策略.
- 促进前线人员和决策者之间的伙伴关系是有效的QI的关键.
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