一个混合方法的描述性研究,关于持续质量改进在农村外科和产科稳定的作用:考虑推动者,挑战和影响
Jude Kornelsen1, Audrey Cameron1, Kathrin Stoll1
1Centre for Rural Health Research, Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada.
PloS one
|June 6, 2024
概括
持续质量改进 (CQI) 资金通过增强团队功能和动力来支持农村的外科和产科服务. 以当地为导向的CQI倡议对于应对低体积农村医疗保健机构的独特挑战至关重要.
科学领域:
- 农村卫生服务 农村卫生服务
- 改善医疗保健质量 改善医疗保健质量
- 手术和产科护理服务.
背景情况:
- 农村医院面临资源限制,影响质量改善.
- 农村外科产妇网络 (RSON) 计划为持续质量改进 (CQI) 提供了资金.
- CQI的资金旨在稳定和加强农村的外科和产科服务.
研究的目的:
- 审查CQI.提供者经验的混合方法发现.
- 评估CQI对农村环境服务稳定的影响.
- 了解当地驱动的CQI对农村医疗保健团队的影响.
主要方法:
- 混合方法方法采用定性访谈和2023年调查.
- 从参与RSON倡议的农村医疗保健提供者和管理人员收集的数据.
- 分析参与者对CQI实施的看法,推动因素和挑战.
主要成果:
- 提供者认为CQI对技能发展,团队功能和文化有价值.
- 组织基础设施支持CQI项目,但时间和员工参与是挑战.
- 调查数据显示,与CQI相关的团队流程和关系的评分很高.
结论:
- 针对农村环境量身定制的有效CQI机制对于体积较小的场地至关重要.
- 当地驱动的质量改进提高了农村医院团队的功能,沟通和动力.
- CQI的举措促进了建立信任和设定目标,最终改善了农村地区的患者护理.
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