让医疗保健专业人员和患者代表参与医院质量模型的开发:一种混合方法研究
Kathleen Bogaert, Melissa De Regge1,2, Frank Vermassen3,4
1Strategic Policy Cell, Ghent University Hospital, Corneel Heymanslaan 10, Ghent B-9000, Belgium.
概括
一个新的参与式质量模型,与医疗保健工作人员和利益相关者一起开发,增强了对质量护理的内在动机. 该模型在比利时一家医院实施,改善了患者感知的质量和安全,更好地与员工需求保持一致.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高质量
- 患者安全 患者安全
背景情况:
- 外部强加的质量要求可能缺乏长期的可持续性.
- 需要有质量模型,这些模型能够内在地激励医疗保健专业人员.
- 本研究涉及在医院环境中开发一种可持续的,参与式的质量模型.
研究的目的:
- 开发和评估一种参与式的质量模型,以内在地激励医疗保健专业人员.
- 将质量模型与组织的身份和质量愿景保持一致.
- 评估模型对感知护理质量和患者安全的影响.
主要方法:
- 一个多方法设计,涉及焦点小组,采访和调查与医院工作人员.
- 一个由内部和外部利益相关者组成的质量审查委员会定义了质量标准.
- 评估包括患者对护理和安全的看法,以及员工对该模型的经验.
主要成果:
- 参与式质量模型,包括八个主题的46个标准,被开发和实施.
- 住院患者所感知到的质量和安全维度的显著改善.
- 该模型表现出更好地适应员工需求和适应部门环境.
结论:
- 与利益相关者共同创建的参与式质量模型促进了更可持续的质量政策.
- 该模型增强了医疗保健专业人员的内在动机,从而改善了患者感知的结果.
- 质量和安全监测仍然存在挑战,因为缺乏硬指标.
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