一个大型医疗保健组织的项目主管在全国范围内的调查:居民健康活动的流行率和看法
Alexander W Marshburn1, Gabrielle Riazi1, Sabrina Menezes1
1Claremont Graduate University, Claremont, CA.
医院住院计划主管报告了优先考虑住院健康的挑战,健康活动的差异很大. 在更高的组织层面的决策更受认证和财务的影响,而不是居民的福祉.
科学领域:
- 医学教育 医学教育
- 医疗保健管理部门的管理.
- 职业健康 职业健康 职业健康
背景情况:
- 评估大型医院网络中健康计划的当前状态.
- 了解住院项目主任 (PD) 对健康倡议的看法.
- 评估健康优先级,活动频率和决策影响.
研究的目的:
- 确定PDs对健康计划有效性和整合性的看法.
- 识别障碍物和促进者优先考虑居民健康.
- 分析居民健康对机构决策的感知影响.
主要方法:
- 在2021年分配给211个PD的调查.
- 收集关于计划政策,健康活动频率,行政优先级,资金和决策影响的数据.
- 分析了148项已完成的调查 (70.1%的响应率).
主要成果:
- 大多数项目都有健康倡议,委员会和资金;很少有首席健康官.
- PDs认为健康与机构成功有关,而不是ACGME要求或财务状况.
- 与ACGME (31.0%-32.8%) 和财务问题 (21.9%-37.0%) 相比,居民健康对组织决策的影响有限 (8.0%-12.2%).
- 大多数居民可以在不使用带薪休假或在值班时参加心理健康预约.
结论:
- 在居住计划中,健康活动的差异很大.
- 在优先考虑居民自我照顾和个人发展方面,PDs面临着挑战.
- 居民健康被认为在高层机构决策中的重要性很低.
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