精神分裂症护理的质量指标:一个范围审查
Jennifer C Anderson1, Dallas P Seitz2, David Crockford2
1Department of Psychiatry, Cumming School of Medicine, University of Calgary, 2500 University Dr. NW, Calgary, Alberta T2N 1N4, Canada; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3280 Hospital Dr. NW, Calgary, Alberta T2N 4Z6, Canada.
这次审查确定了390个精神分裂症护理的质量指标,主要是以安全性和有效性为重点的过程措施. 在物质使用和医疗保健公平等领域存在差距.
科学领域:
- 医疗保健质量测量 医疗保健质量测量
- 精神病护理指标 精神病护理指标
- 精神分裂症谱系障碍 精神分裂症谱系障碍
背景情况:
- 改善精神分裂症患者的医疗保健是非常重要的,因为持续的糟糕结果.
- 医疗保健质量测量是医疗保健改进举措的基本步骤.
- 对于精神分裂症的现有质量措施可能无法全面解决护理的各个方面.
研究的目的:
- 确定和描述精神分裂症患者护理质量的指标.
- 在精神分裂症护理中绘制现有质量措施的地图.
- 突出需要在质量指标框架中进一步发展的领域.
主要方法:
- 进行了全面的范围审查.
- 搜索了六个学术和四个灰色文学数据库,以及23个组织网站.
- 包含了关于精神分裂症谱系障碍的质量指标的文件.
主要成果:
- 119份文件产生了390个不同的质量指标.
- 大多数指标是过程措施 (68%),重点是安全 (30%) 和有效性 (35%).
- 指标涵盖了心理健康保健 (77%) 和身体健康保健 (23%),包括服务提供,药物治疗和干预.
结论:
- 结果显示,人们越来越关注精神分裂症护理的质量测量.
- 报告指出,指标开发缺乏明确的验证流程.
- 在物质使用,生殖健康和医疗保健公平指标中发现的差距需要优先考虑未来的发展.
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