医疗保健中外部和内部驱动的实施过程的障碍和推动因素:定性跨案例研究
Hilda Bø Lyng1, Eline Ree2, Torunn Strømme2
1SHARE - Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, N-4036, Norway. hilda.b.lyng@uis.no.
BMC health services research
|April 25, 2024
概括
这项关于挪威医疗保健质量改进 (QI) 计划的研究发现,技术,奉献和所有权是内部和外部实施的关键推动因素. 在所有环境中,工作负载仍然是一个重要的障碍.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高科学 提高质量
- 初级保健研究研究初级保健研究
背景情况:
- 改善医疗保健质量 (QI) 对于改善服务提供至关重要.
- 智商计划是医疗保健领导人和决策者的优先事项.
- 本研究检查了挪威养老院和家庭护理服务中两个不同的QI计划实施情况.
研究的目的:
- 在外部和内部驱动的QA实施过程中识别启动因素和障碍.
- 在初级保健机构的不同实施方法中,比较不同实施方法的推动因素和障碍.
- 了解在养老院和家庭护理服务中实施QI的细微差别.
主要方法:
- 使用多个案例研究设计的探索性定性方法.
- 通过"提高初级保健的质量和安全 - - 在养老院和家庭护理中实施领导干预" (SAFE-LEAD) 项目收集的数据.
- 使用接地理论原则对经验数据的诱导分析.
主要成果:
- 这两种实施类型的共同推动因素包括技术,工具,奉献精神和所有权.
- 具体实施的推动因素包括持续学习,模拟培训和知识共享.
- 在外部和内部的QA实现中,工作负载是持续存在的障碍.
结论:
- 一些QI实现的推动因素和障碍是普遍的,而另一些则是特定于环境的.
- 奉献,参与,技术和工具是QI计划的可转移的推动因素.
- 工作负载是一个重要的,横向的障碍,需要在医疗保健QA计划中进行谨慎的管理.
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