加拿大不列颠哥伦比亚省农村医生持续质量改善的障碍和促进因素:一项混合方法研究
Dawson Born1, Brenna M Lynn1, Bob Bluman
1Division of Continuing Professional Development, Faculty of Medicine, University of British Columbia, Vancouver, BC V5Z 3X7, Canada.
农村医生需要在持续质量改进 (CQI) 活动中得到更好的支持. 解决时间限制和改善数据访问是提高CQI参与度和改善农村医疗保健的关键.
科学领域:
- 医疗保健管理的管理
- 农村卫生 农村卫生
- 提高质量 提高质量
背景情况:
- 持续质量改进 (CQI) 对农村医疗保健至关重要.
- 关于农村实践中CQI的障碍和促进者的证据有限.
- 了解这些因素对于提高护理质量和患者安全至关重要.
研究的目的:
- 在农村医生中探索CQI实施的推动因素和障碍.
- 确定促进农村医生更多地参与CQI的策略.
主要方法:
- 采用调查和重点小组采访的混合方法研究.
- 从加拿大不列颠哥伦比亚省农村地区的医生那里收集的数据.
- 调查响应率为19% (299/1584),在7个重点小组中有33名参与者.
主要成果:
- 农村医生强烈支持CQI,但面临时间限制和数据访问问题等障碍.
- 在过去两年中,不到一半的受访者参与了CQI计划.
- 同行协作和反是关键的激励因素;可访问的数据和员工资源是关键的推动因素.
结论:
- 加强支持系统对于农村医生参与CQI是必要的.
- 推专门的CQI人员和改进的实践数据系统.
- 这些干预措施可以促进农村环境中系统的CQI活动.
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