在囊性纤维化学习网络中改善系统级共产的干预措施
Breck Gamel1, Dana Albon2, Srujana Bandla3
1Children's Health Cystic Fibrosis Center, The University of Texas Southwestern Medical Center, Dallas, Texas, USA.
BMJ open quality
|July 27, 2024
概括
患者和家庭合作伙伴 (PFPs) 积极参与囊性纤维化计划中的质量改善 (QI) 计划. 系统层面的策略提高了共产的感知和PFP的满意度,显示了更广泛的健康应用的潜力.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者和家庭的参与.
- 卫生系统研究 卫生系统研究
背景情况:
- 共同生产,定义为平等的患者-临床医生合作,对于改善医疗保健质量 (QI) 至关重要.
- 学习健康网络 (LHNs) 将协同生产整合到跨不同卫生系统的QI努力中.
- 患者和家庭合作伙伴 (PFPs) 是医疗保健提供和改善的重要合作者.
研究的目的:
- 描述开发和维持QI的PFP联合生产的干预措施.
- 用PFP和程序报告的尺度来测量PFP联合生产.
- 增加PFP参与QI,同时保持PFP-临床医生关系的满意度.
主要方法:
- 在囊性纤维化学习网络 (CFLN) 中与CF患者,护理人员和临床医生共同创建干预措施.
- 干预的重点是准备,招聘,入职,伙伴关系发展和领导机会.
- 使用控制和运行图表分析了每月对PFP/程序感知和PFP QI技能/满意度的评估.
主要成果:
- CFLN的项目增加到34个,其中52%的PFP积极报告QI参与.
- 临床医生报告说,PFP在76%的项目中积极参与或领导QI.
- 职业培训人员表现出提高了QI技能 (17%-32%) 和高满意度,感觉有价值.
结论:
- 系统层面的策略有效地提高了联合制作的认知和PFP参与CF计划的QI.
- 可适应的策略包括入职,QI培训,多项PFP支持和财务认可.
- 这些干预措施有望促进其他健康状况中的联合生产.
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