使用一个质量改善工具,计划-做-研究-行动循环,以促进印度的结核病通知后Covid-19大流行
Manoj Jain1, Salil Bhargava1, Raman Arora1
1Collaboration to Eliminate TB Among Indians, CETI, India.
The Indian journal of tuberculosis
|August 7, 2024
概括
电子计划-做-研究-行为 (e-PDSA) 工具有效地改善了印度流行病后的结核病通知率. 这种可扩展,经济的干预几乎训练了地区结核病官员 (DTO),证明了医疗保健的可行质量改善.
科学领域:
- 公共卫生 公共卫生
- 改善医疗保健质量 改善医疗保健质量
- 传染病控制和控制传染病
背景情况:
- 质量改进工具对于提高印度的医疗保健服务至关重要.
- 由CETI开发的电子计划-做-研究-行动 (e-PDSA) 工具此前已经成功试点.
- 扩大电子PDSA工具的规模,旨在提高结核病报告率.
研究的目的:
- 评估e-PDSA工具在全国范围内扩展的可行性,有效性和成本效益.
- 将地区结核病官员 (DTO) 进行虚拟培训,以提高结核病通报率.
- 评估e-PDSA干预对COVID-19流行后结核病通知的影响.
主要方法:
- 全国范围内的DTO从2022年5月至7月为期10周的e-PDSA循环虚拟培训计划向DTO提供.
- 质量改进顾问作为联络人,协助DTO完成PDSA循环.
- 在PDSA和非PDSA组之间比较了2022年2月至4月 (基线) 和2022年5月至7月 (干预) 的结核病通知数据.
主要成果:
- 在779个地区中,546名DTO (70%) 报名,而437人 (80%) 完成了PDSA周期.
- 在PDSA组的地区,结核病通知有55%的改善,而非PDSA组的地区则有45%.
- 干预费用为4万美元 (每DTO92美元),DTO评价该课程为4.3/5的推.
结论:
- 大规模实施电子PDSA循环是可行的,经济的,并且有效地改善结核病通知.
- 该干预措施对结核病报告率产生了积极影响,特别是在PDSA组中.
- 进一步的PDSA周期,包括通知和其他措施,可以大大为实现印度无结核病做出贡献.
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