多中心比较审计实施的现实综合:探索什么是有效的,在哪些医疗保健环境中
Sinéad M McGlacken-Byrne1, Nuala P Murphy2,3, Sarah Barry4
1Centre for Health Policy and Management, Trinity College Dublin, Dublin, Ireland sineadmcglackenbyrne@gmail.com.
BMJ open quality
|March 6, 2024
概括
在医疗保健中实施多中心比较审计需要了解特定环境因素. 成功的关键要素包括生成可靠的数据,鼓励参与,确保可持续性,并促进审计完成,以改善患者护理.
科学领域:
- 医疗保健管理的管理
- 临床审计实施实施
- 医疗服务研究 医疗服务研究
背景情况:
- 多中心比较临床审计提供了诸如改善患者护理和资源配置等好处.
- 在资源有限的医疗保健机构中,实施大规模的审计是具有挑战性的.
- 关于促进成功实施多中心审计的因素的数据有限.
研究的目的:
- 检查在医疗保健领域实施多中心比较审计中的影响因素.
- 在审计实施过程中了解什么是有效的,为什么是有效的,如何有效的,为谁有效的.
主要方法:
- 根据既定的报告标准进行了现实的审查.
- 一个初步的程序理论指导着对同行评审和灰色文学进行系统的文献搜索.
- 确定了上下文-机制-结果 (CMO) 配置,以形成最终的程序理论.
主要成果:
- 综合包括69篇原创文章.
- 确定了四种离散的CMO配置:生成可靠的数据,鼓励参与,确保可持续性和促进审计完成.
- 这些配置形成了多中心审计实施的最终程序理论.
结论:
- 环境因素和机制对于多中心/国家医疗保健比较审计至关重要.
- 研究结果与行为理论和实证研究一致,强调可靠性,务实主义,人力资本,领导力和变革促进.
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