医疗专家是否接受基于索赔的审计和反以提高质量? 一个焦点小组研究研究
Vera de Weerdt1,2, Sierk Ybema3,4, Sjoerd Repping2
1Department of Health Economics, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands v.de.weerdt@vu.nl.
BMJ open
|April 8, 2024
概括
医疗专家对使用基于索赔的审计和反 (A&F) 进行质量改进 (QI) 有不同的看法. 接受取决于实施,有些人认为它是可靠的反射学习,而另一些人则担心数据有效性和临床解释.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 医疗专业人士的反 医疗专业人士的反
- 医疗保健服务研究 医疗服务研究
背景情况:
- 审计和反 (A&F) 是医疗保健中一个关键的质量改进 (QI) 战略.
- 医疗专家对QI基于索赔的A&F的接受仍然在很大程度上未被探索.
- 了解专家的观点对于有效的A&F实施至关重要.
研究的目的:
- 调查医疗专家接受基于索赔的审计和反 (A&F) 以提高质量 (QI).
- 确定影响受理和实施基于索赔的A&F的因素.
主要方法:
- 使用在线焦点小组讨论进行定性研究设计.
- 话语分析被应用来分析来自五个重点小组的成绩单.
- 来自荷兰不同专业的21名医疗专家参加了会议.
主要成果:
- 参与者对基于索赔的QI的A&F表达了不同的意见.
- 支持的论点包括刺激反思性学习和感知可靠性.
- 对此提出的论点是行为变化影响不足,缺乏临床解释,数据无效以及保险公司可能滥用.
结论:
- 一些医疗专家在特定主题和特定条件下接受基于索赔的AI和QI的AF.
- 实施战略在很大程度上影响了A&F的接受程度.
- 考虑索赔数据的适用性与需要更具体的数据的考虑对于设计有效的A&F干预至关重要.
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