为荷兰养老院的医疗从业人员编制一套可操作的质量指标:德尔菲研究
Gary Y C Yeung1, Karlijn J Joling1, Darly Dash2
1Department of Medicine for Older People, Amsterdam UMC, Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Journal of the American Medical Directors Association
|June 22, 2024
概括
德尔菲的一项研究确定了21个可操作的质量指标 (QI),用于荷兰养老院的医疗从业者. 大多数QA可以在国际上转移,有助于进行质量比较和改善医疗保健.
科学领域:
- 老年医学 老年医学
- 改善医疗保健质量 改善医疗保健质量
- 养老院护理服务 养老院护理服务
背景情况:
- 现有的养老院质量指标 (QI) 往往缺乏针对医疗从业者的具体性.
- 国际专家提出了针对养老院医疗护理质量的具体QI.
- 需要针对荷兰养老院的医疗从业人员量身定制的可操作的QA.
研究的目的:
- 为荷兰养老院的医疗从业者编制一套可操作的质量指标 (QI).
- 评估现有的国家和国际质量指标,以评估它们的相关性和医疗从业者的控制.
主要方法:
- 一项德尔菲研究涉及荷兰的医疗从业者 (专家,执业护士,医生助理).
- 基于从业者控制和相关性的15个国家和35个国际QA的评估.
- 建立共识的回合和选择的QA的最终排名.
主要成果:
- 在医务人员控制下的42个QI达成共识,其中21个被认为与护理质量有关.
- 大多数相关的QA来源于国际集,表明可转移性.
- 排名最高的QI包括新药处方和事先的护理规划.
结论:
- 该研究成功地为荷兰养老院的医疗从业者确定了一套相关和可操作的质量指标.
- 国际开发的QA是可转让的,可以促进跨国质量比较.
- 需要进一步的研究来评估实施所选的QA的可行性和测量特性.
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