评估临床医师在医疗保健转型中的经验:来自六个卫生系统的结果
Ariadne Lie1, Marybeth Jones2, Julie Corder3
1University of Rochester Medical Center, Department of Pediatrics, Rochester, New York; Stanford Health Care, Department of Primary Care, Emeryville, California.
概括
使用Got Transition的6个核心元素实施结构化医疗转型 (HCT) 的临床医生报告了对患者安全和体验的积极影响. 一个专注的冠军和领导力支持是成功实施HCT计划的关键.
科学领域:
- 医疗保健管理的管理
- 患者过渡 患者过渡
- 改善临床实践的改善
背景情况:
- 临床医生对结构化医疗转型 (HCT) 计划的经验的证据有限.
- 结构化的HCT对于改善慢性病患者的护理连续性至关重要.
- 哥特过渡的6个核心元素为系统的HCT实施提供了一个框架.
研究的目的:
- 描述临床医生在实施基于 Got Transition 6 个核心元素的结构化 HCT 过程中的经验.
- 确定与临床医生成功实施HCT相关的因素.
- 收集有关结构化HCT所感知的好处和挑战的反.
主要方法:
- 使用适应的 Got Transition 工具开发了一项调查,并分发给 6 个卫生系统的 855 名临床医生.
- 该调查收集了关于临床医生的角色,实践环境和HCT实施经验的数据.
- 统计分析检查了临床医生人口统计和调查答案之间的关系.
主要成果:
- 实现了31%的响应率 (272名临床医生),其中三分之二报告忠实于结构化的HCT过程.
- 大多数实施的要素包括过渡政策,跟踪和规划.
- 临床医生认为结构化HCT可以提高安全性,质量和患者/临床医生体验;领导力买入和冠军与积极的结果有关.
结论:
- 临床医生认识到使用6个核心元素的结构化HCT的好处,特别是当冠军在场时.
- 成功实施需要专门的时间和持续的投资在实践范围的HCT流程.
- 进一步的研究应该探索优化HCT实施和临床医生的参与的策略.
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