在以患者为中心的医疗家庭转型期间,衡量进展的工具
Denise D Quigley1, Zachary S Predmore1, Ron D Hays1
1RAND Corporation (DDQ), Santa Monica, CA; RAND Corporation (ZSP), Boston, MA; Division of General Internal Medicine and Health Services Research, University of California, Los Angeles (RDH), Los Angeles, CA.
American journal of accountable care
|May 24, 2024
概括
这次审查评估了以患者为中心的医疗家庭 (PCMH) 实施的工具,发现PCMH-A和MHCCS-H可用于改善质量,并减轻行政负担. 需要进一步的研究来链接工具以改善质量结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高科学 提高质量
- 主要护理转型的变革
背景情况:
- 以患者为中心的医疗家庭 (PCMH) 模式旨在改善初级保健服务.
- 需要有效的工具来指导和评估PCMH实施和实践转型.
- 评估现有的工具对于优化质量改进工作至关重要.
研究的目的:
- 审查和评估旨在评估和加强以患者为中心的医疗家庭 (PCMH) 实施的工具.
- 确定在PCMH变化过程中支持质量改进的工具.
主要方法:
- 进行文献搜索以确定公开可用的PCMH调查工具.
- 审查了5个PCMH工具的内容,以覆盖PCMH标准和要求.
- 对其在评估和质量改进中的实用性进行评估的工具.
主要成果:
- 三种工具PCMH-A,PCAT-FE和MHCCS-H被确定为可用于质量改进的工具.
- PCMH-A涵盖了最广泛的实践能力和国家质量保证委员会 (NCQA) 标准.
- MHCCS-H独特地解决了护理的全面性,而PCMH-A和MHCCS-H提供了轻松的行政负担和可行的改进步骤.
结论:
- 目前有限的证据将特定的PCMH工具与由于少数纵向研究而改善的质量结果联系起来.
- PCMH-A和MHCCS-H是提高质量的实用方法,尽管它们都有内容差距 (例如,全面性,获得护理).
- 需要进一步的研究来确定哪些PCMH评估工具在推动质量改进方面最有效.
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