评论:致力于研究和质量改进 - 不仅仅是单词
Kerry Kuluski1, Katie Dainty2, Kelly M Smith3
1Dr. Mathias Gysler Research Chair in patient- and family-centred care at the Institute for Better Health, Trillium Health Partners in Mississauga, ON, and an associate professor at the Institute of Health Policy, Management and Evaluation (IHPME) in the University of Toronto in Toronto, ON. Kerry is a researcher and educator focused on patient and caregiver engagement and experience. She works in partnership with patients, caregivers, care providers and health system leaders to learn how to improve the healthcare system, with a specific emphasis on experience measurement and care transitions.
患者参与和质量改进 (QI) 计划需要牢固的关系和范式转变. 跨组织的有效实施需要不仅仅是参与解决固有的复杂性和行为变化.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者参与策略 患者参与策略
- 护理过渡 护理过渡
背景情况:
- 思考"通往家园的桥梁"倡议 哈恩-戈尔德伯格等人. (2024年) 的时间.
- 检查来自全加拿大质量改善 (QI) 和患者参与护理过渡计划的关键经验.
- 在孤立的医疗保健组织中实施复杂干预的挑战.
研究的目的:
- 为扩大患者参与QI计划提供实际建议.
- 建议在医疗保健质量改善方面进行范式转变.
- 强调在聘用工作中建立关系和评估的重要性.
主要方法:
- 对现有文献和倡议成果进行批判性反思.
- 分析患者参与和质量改进过程之间的相互作用.
- 识别医疗保健干预实施中的系统性挑战.
主要成果:
- 患者参与度和智商基本上是关系驱动的.
- 复杂的干预措施面临着不仅仅是参与之外的实施障碍.
- 智商本质上涉及导航人类行为变化,这往往是复杂的.
- 为了推进医疗保健改进,需要改变范式.
- 对参与的全面评估对于成功至关重要.
结论:
- 改善医疗保健质量需要专注于人际关系和行为科学.
- 护理转型中的系统性挑战需要综合解决方案.
- 未来的倡议应该嵌入对患者参与策略的强有力的评估.
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