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独立医疗检查的质量体验的概念化:叙事性审查

Judy Currey¹, Stephanie K Sprogis¹

¹Deakin University: School of Nursing and Midwifery & Centre for Quality and Patient Safety Research in the Institute for Health Transformation, 1 Gheringhap St, Geelong, Victoria, 3220, Australia.

|October 25, 2024

概括

独立医疗检查 (IME) 显示出一些质量,但缺乏以人为中心和护理整合. 提高IME质量需要嵌入全面的质量体验,以获得受伤工人的更好的结果.

科学领域:

职业健康职业健康职业健康
改善医疗保健质量改善医疗保健质量
医疗法法律医疗法

背景情况:

独立的医疗检查 (IME) 对工人赔偿至关重要,提供专家对工作相关伤害的评估.
现有的指南旨在提供最佳实践,但对于这些关键的医疗保健接触的整体质量仍然存在担忧.
中小企业的质量对于确保工人补偿制度的公平性和有效性至关重要.

研究的目的:

探索独立医疗检查实践和报告中的质量原则.
确定改善IME流程质量的差距和机会.
为了使IME实践与已建立的医疗保健质量维度保持一致.

主要方法:

对学术和灰色文学进行了叙事审查.
使用世界卫生组织的维度来评估质量:有效性,安全性,以人为中心,及时性,公平性和效率.
在Medline,CINAHL,Embase和Google搜索文献,没有日期限制.

主要成果:

现有的IME实践部分解决了大多数质量维度,主要是在审查阶段.
在人为中心和整合整个IME过程中的护理方面发现了显著的差距.
建议包括让社区成员参与审查员的选择,并改进报告,以包括工人的经验.

结论:

在急性护理中普遍存在的质量原则的普遍应用,在独立的医疗检查中缺乏.
建议将全面的质量经验嵌入IME程序中,以改善基于证据的实践和工人/检查员的经验.
正式化质量标准可以促进文化转变并增强整体IME过程.

关键词:

独立的医疗评估.受伤的工人受伤的工人质量改善质量改善质量指标,医疗保健,医疗保健服务健康护理的质量医疗保健的质量工人赔偿的工人赔偿

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