进步,障碍和协作:在一线医生和以商业为导向的领导者之间解决挑战和设计解决方案的ABC
Shayann Ramedani1, Jeffery Miller2, Jed D Gonzalo3,4
1Anesthesiology and Perioperative Medicine, University of Rochester Medical Center, Rochester, New York, USA sramedani@gmail.com.
BMJ leader
|February 28, 2024
概括
为了应对医疗保健的复杂性,必须将卓越运营原则纳入医学教育. 关键障碍包括不同的思维模式,利益相关者参与挑战,以及质量改进项目的一致语言.
科学领域:
- 医疗保健管理的管理
- 卫生系统科学 卫生系统科学
- 医学教育 医学教育
背景情况:
- 美国的医疗保健系统越来越复杂,需要在医疗保健和临床科学方面的教育.
- 医院正在演变为医疗保健系统,要求在运营方面的专业知识,以及解决问题的卓越能力.
- 越来越需要教育教师和实习生在医疗保健运营和质量改善.
研究的目的:
- 思考在临床环境中实施质量改进项目的障碍.
- 为了确定在教育医学学习者有关操作卓越原则的挑战.
- 在医疗保健教育中弥合行政和临床工作流程之间的差距.
主要方法:
- 在拥有医学教育和运营卓越专业知识的作者之间进行合作讨论.
- 关于美国卫生系统科学和医疗保健领导力的86项研究 (2013-2021年) 的文献综述.
- 分析来自讨论和文献的交叉主题,以确定关键挑战.
主要成果:
- 确定了四个主要挑战:临床和行政视角之间的不同心理模型.
- 利益相关者参与的复杂性,称为"国际象棋游戏",影响流程改进.
- 不一致的语言和需要行政弹性阻碍了项目实施.
- 弥合学习差距在教学操作卓越的概念,培训人员.
结论:
- 医生和实习生必须协调行政和临床心理模型.
- 运营卓越的有效整合对于导航复杂的医疗环境至关重要.
- 解决已识别的障碍将加强质量改进倡议的实施.
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