在伊朗实施临床实践指南的结果,障碍和促进者:全面审查
Maliheh Ghobadi1, Anahita Behzadi2, Asma Sabermahani3
1Department of Health Management, Policy, and Economics, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran.
Iranian journal of public health
|June 19, 2024
概括
实施临床实践指南 (CPG) 提高了医疗保健的质量和效率,但面临着障碍. 解决这些问题需要领导力,更好的资源,以及为成功采用CPG的简化指南.
科学领域:
- 医疗保健管理的管理
- 改善临床实践的改善
- 卫生政策 卫生政策
背景情况:
- 临床实践指南 (CPG) 对医疗保健效率至关重要,促进最佳医疗方法和降低成本.
- 在个人,组织和卫生系统层面存在实施挑战.
- 了解结果,障碍和促进者是成功集成CPG的关键.
研究的目的:
- 确定实施临床实践指南的结果.
- 确定阻碍CPG实施的障碍.
- 探索可以支持CPG采用的促进者.
主要方法:
- 在主要数据库 (Web of Science,PubMed,Scopus,Embase) 和非英语来源中进行了广泛的文献搜索.
- 包括1990年1月至2022年12月期间发表的定量,质量和审查研究.
- 分析侧重于政策制定,卫生系统/医院,专业专家和指导方针分类的结果,障碍和促进者.
主要成果:
- 显著的结果包括降低医疗保健成本和提高护理质量.
- 发现的障碍:支持不足,教育不足,工作压力高,时间限制和指导方针不清楚.
- 克服障碍的促进者:强有力的领导力,改善的工作条件,资源分配,结构化框架和简化内容.
结论:
- 识别CPG实施结果和障碍对于专业绩效,护理质量和患者满意度至关重要.
- 实施CPG的有效策略取决于对这些因素的认识.
- 优先考虑领导力,资源和明确,可访问的指导方针对于成功采用至关重要.
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