绩效理解和学习系统 (PULSE-KEY):制定一个框架,用于实施和评估医疗保健服务模式的医疗保健服务模型的绩效
Rumbidzai N Mutsekwa1, Katrina L Campbell2, Russell Canavan3
1Gold Coast Hospital, Gold Coast, Brisbane, Australia rumbidzai.mutsekwa@health.qld.gov.au.
BMJ open
|January 14, 2025
概括
这项研究开发了一个全面的评估框架,以改善替代医疗保健提供模式的绩效测量. 该框架有助于在数据驱动的决策中采用,实施和维持医疗保健模型,以提高患者的结果和系统效率.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 性能测量 性能测量 性能测量 性能测量 性能测量
背景情况:
- 有效的绩效评估对于医疗保健改进,问责制和结果优化至关重要.
- 医疗保健绩效测量的复杂性往往阻碍了有效的实施.
- 替代医疗保健提供模式需要量身定制的评估方法.
研究的目的:
- 开发和验证一个全面的评估框架,用于替代医疗保健提供模式的绩效测量.
- 通过解决评估新护理模式的复杂性,推进绩效测量领域.
- 提供一个工具,以提高替代医疗保健的实施和有效性.
主要方法:
- 从医疗保健质量指标项目和概念分析中采用了七阶段的方法方法.
- 包括文献审查,消费者/患者参与,利益相关方参与,概念框架开发,专家咨询和案例研究验证.
- 完善了评估替代医疗保健提供模式的实际应用框架.
主要成果:
- 开发了一个全面的评估框架,通过专家咨询 (n=25) 进行验证.
- 该框架围绕八个主要领域构建:实施结果 (适应性,可实施性,可持续性),有效性,安全性,以患者为中心,医疗保健提供者经验,获取,服务提供和经济评估.
- 证实了相关性,清晰度和适合不同受众的适用性.
结论:
- 开发的框架是加强替代医疗保健提供模式的绩效测量的一个重要工具.
- 它促进了采用,实施和维持医疗保健模式的数据驱动决策.
- 系统应用旨在改善患者的治疗结果,提供者体验和医疗保健系统效率.
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