导致医院采用质量管理实践的差异的因素:一个两阶段的,连续的混合方法分析
Health care management review
|May 6, 2024
概括
医院的大小和拥有一个急诊室显著影响质量管理 (QM) 实践的采用. 这些因素,以及质量管理指导委员会,是改善医院质量倡议的关键驱动力.
科学领域:
- 医疗保健管理的管理
- 组织研究 组织研究
- 提高质量 提高质量
背景情况:
- 医院努力提供高质量的护理,但在采用质量管理 (QM) 实践方面存在显著差异.
- 影响医院战略决策的组织和环境因素是公认的,但它们对QM采用的具体影响尚不清楚.
研究的目的:
- 确定组织和环境因素,解释医院之间质量管理实践采用的差异.
- 探索将这些因素与质量管理的采用联系在一起的潜在机制.
主要方法:
- 在德国急性护理医院进行了一项两阶段,连续的混合方法研究.
- 定量阶段:效应间回归 (2015-2019年) 以确定与质量管理实践数量相关的因素.
- 质量阶段:与质量经理进行半结构面试,以深入了解.
主要成果:
- 医院的大小,急救部门的存在和质量管理指导委员会与采用的质量管理实践数量有显著联系.
- 定性数据显示,紧急部门可能表明组织复杂性或紧急情况混合,影响质量管理的采用.
结论:
- 本研究提供了推动医院采用质量管理的因素的全面概述,超越单一因素分析.
- 结果可以为有针对性的干预提供信息,以加强医院的质量管理,并指导未来的研究方向.
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