加强优质护理的政策,实施和问责环境:来自优质护理网络国家的经验
Blerta Maliqi1, Olive Cocoman1, Martin Dohlsten1
1Department of Maternal, Newborn, Child, Adolescent Health and Aging, World Health Organization, Geneva, Switzerland.
Frontiers in health services
|January 31, 2024
概括
实施领导力,行动,学习和问责制 (LALA) 框架改善了母亲和新生儿健康的护理质量 (QOC). 尽管在扩展和数据质量方面存在挑战,但网络为持续的QOC改进创造了有利的环境.
科学领域:
- 全球健康 全球健康
- 加强卫生系统 加强卫生系统
- 提高质量 提高质量
背景情况:
- 护理质量差 (QOC) 显著影响母亲和新生儿的健康结果,特别是在低收入和中等收入国家.
- 现有的小规模项目缺乏有效和一致的QOC实施的长期前景.
- 改善母亲,新生儿和儿童健康护理质量的网络于2017年成立,以解决这些差距.
研究的目的:
- 描述,分析和反思QOC领导,行动,学习和问责制 (LALA) 框架的实施情况.
- 确定在网络国家内为QOC建立有利环境的成功和挑战.
- 为未来的策略提供信息,以扩大护理干预的质量.
主要方法:
- 该研究分析了LALA框架在10个国家的实施情况.
- 它的重点是加强QOC的政策,实施,问责制和社区参与.
- 检查了所吸取的经验教训和卫生系统能力的持续挑战.
主要成果:
- 通过加强关键卫生系统组件,LALA框架的实施催化了QOC的有利环境.
- 持续面临的挑战包括扩大变化规模,员工能力持续提高质量,以及数据质量差距.
- 需要新的社区参与机制和学习系统来扩大QOC实践.
结论:
- 开发一个有利于QOC的卫生系统环境是可以实现的,并随着时间的推移产生积极的结果.
- 持续加强LALA战略目标对于持续影响至关重要.
- 该网络的经验为其他国家和合作伙伴提供了改善全球QOC交付的模式.
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