使用行为变化技术分类学打开卫生系统绩效管理的黑盒子:对健康研究和实践的影响
Jenna M Evans1, Sarah M Wheeler2
1DeGroote School of Business, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S4M4, Canada. Jenna.Evans@mcmaster.ca.
Health research policy and systems
|February 3, 2025
概括
这项研究分析了医疗保健绩效管理 (PM) 系统中的行为改变技术 (BCT). 结果显示,PM干预利用BCT,如目标差异和反来影响提供者的行为.
科学领域:
- 卫生系统研究 卫生系统研究
- 在医疗保健中的行为科学.
- 绩效管理分析 绩效管理分析
背景情况:
- 医疗保健绩效管理 (PM) 系统涉及复杂的干预,阻碍了研究和证据积累.
- 标准化语言,如行为改变技术 (BCT),可以澄清PM机制并改进干预设计.
研究的目的:
- 在加拿大医疗保健PM系统中分析和描述BCT.
- 展示BCT镜头如何有助于PM系统的评估和重新设计.
主要方法:
- 在安大略省的PM系统中使用修改的行为变化技术分类学 (BCTT) 分析BCT.
- 参与审查了64份文件,观察了15次会议,并对关键信息提供者进行了4次采访.
主要成果:
- 确定了13个领域的54个BCT,集中在目标/规划,奖励/威胁,反/监控和身份.
- 关键的BCT包括当前行为和目标之间的差异,对结果的反,社会比较和社会激励.
- 成绩表,绩效评估和改进计划是BCT的主要贡献者.
结论:
- 行为变化视角为分析和评估医疗保健PM系统提供了一种新的方式.
- 这种方法支持PM干预措施的标准化比较和重新设计,以获得更好的研究和实践结果.
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