基于基于价值的医疗保健的最佳绩效评估指标的开发,用于全科医院护理:Delphi研究
Wenbo He1,2, Liang Du1, Wei Zhang3
1Innovation Institute for Integration of Medicine and Engineering, Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, China.
Journal of clinical nursing
|August 17, 2024
概括
这项研究使用基于价值的医疗保健原则为中国医院建立了25个最佳护理实践指标. 这些指标旨在标准化护理质量监测,并提高医疗小组的患者价值.
科学领域:
- 护理实践 护理实践
- 医疗保健管理的管理
- 基于价值的医疗保健
背景情况:
- 建立标准化的护理实践指标对于提高中国普通医院的质量至关重要.
- 基于价值的医疗保健 (VBHC) 理论为优化医疗保健提供和患者结果提供了一个框架.
研究的目的:
- 开发和验证一套最佳护理实践指标,用于中国普通医院内的医疗团体.
- 将护理实践与基于价值的医疗保健 (VBHC) 原则保持一致.
主要方法:
- 使用了经验丰富的临床护士和运营管理专家参与的修改后的Delphi方法.
- 通过文献审查和头脑风暴开发了一个全面的框架,然后使用联合授权-MABAC方法验证指标.
主要成果:
- 16名专家在护士管理方面拥有超过10年的经验,他们达成了共识.
- 确定了25个批准的指标,涵盖服务能力,效率,质量,安全,患者体验和成本.
结论:
- 开发的指标系统为监测医疗保健质量和评估中国临床医疗保健小组的绩效提供了一个标准化的框架.
- 这项研究为护理绩效评估数据库提供了可靠的基础,增强了对护理质量和患者价值的测量.
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