基于荷兰初级保健物理治疗师实践中例行收集的健康结果的质量改进计划的可行性:混合方法研究
Lsf Smeekens1, A C Verburg2, Mjm Maas2,3
1Scientific Institute for Quality of Healthcare, Radboud university medical center, Kapittelweg 54, 6525 EP, Nijmegen, The Netherlands. luuk.smeekens@radboudumc.nl.
BMC health services research
|April 24, 2024
概括
这项研究发现,对于初级保健物理治疗师来说,一个为期九个月的质量改善计划是可行的. 该计划使用患者健康结果,增强了临床表现和学习.
科学领域:
- 物理疗法物理治疗
- 提高质量 提高质量
- 健康 结果 研究 研究 结果
背景情况:
- 评估了荷兰初级保健物理治疗师为期九个月的高级质量改进计划.
- 专注于提高患有非特异性腰痛的患者的护理质量.
- 通过适当性,临床性能影响和学习/行为变化来评估计划的可行性.
研究的目的:
- 评估一个先进的质量提高计划的可行性,为荷兰的初级保健物理治疗师.
- 确定该计划对临床表现和专业发展的影响.
- 探索使用常规收集的健康结果以提高质量的潜力.
主要方法:
- 混合方法质量改进研究与并发三角设计.
- 使用计划-做-研究-行动周期,包括反报告,同行和自我评估.
- 采用了定量措施 (干预适当/可行性/可接受性措施,自我评估) 和定性定向的内容分析.
主要成果:
- 来自两个实践的10名理疗师参加了这次活动.
- 该计划在适当性 (16.5/20),可行性 (17.1/20) 和可接受性 (16.4/20) 上获得了高评分.
- 参与者报告了改善的临床表现 (6.7/10),提高对结果数据价值的认识,以及数据收集和实践的变化.
结论:
- 使用国家登记处健康结果的质量改进计划被认为是可行的.
- 提供了初步证据,用于使用健康结果来提高初级物理治疗的质量.
- 支持未来在物理治疗实践中基于结果的护理计划.
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