实施质量改进计划的障碍和挑战:政治和行政挑战
Chantelle Carbonell1,2, Abisola Adegbulugbe1,2, Winson Cheung1,2
1Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, Canada.
JCO global oncology
|June 27, 2024
概括
在全球范围内,实施医疗保健质量改进 (QI) 计划面临政治和行政障碍. 解决这些问题需要多方利益相关者的合作,政府的支持,以及针对资源限制的定制解决方案,特别是在低收入和中等收入国家.
科学领域:
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在全球范围内,医疗保健中越来越多地采用质量改进 (QI) 计划.
- 尽管已证明有好处,但广泛实施仍面临重大挑战.
研究的目的:
- 在全球范围内识别和描述QI计划实施的政治和行政障碍.
- 提出潜在的解决方案来克服这些已识别的障碍.
主要方法:
- 该研究提供了对已识别的障碍的描述性概述.
- 它综合了基于现有文献和专家见解的潜在解决方案.
主要成果:
- 主要障碍包括资源限制 (资金,基础设施),政治/意识形态因素,社会经济/教育差距,对变革的抵制以及与数据相关的问题 (隐私,收集,系统).
- 在低收入和中等收入国家 (LMICs) 中,障碍更为明显.
- 缺乏QI特定培训和过时的临床信息系统是重大障碍.
结论:
- 克服QI实施障碍需要多个利益相关者的协调努力,政府支持和领导力.
- 解决方案包括财政激励,政策调整,加强培训,改进数据基础设施和国际合作.
- 解决这些多方面的障碍对于全球推进医疗保健质量至关重要.
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