关于临床医生如何在外科手术前途发展达成协议的定性研究:标准化医疗保健的共识模型
Lisa Pagano1, Janet C Long2, Emilie Francis-Auton2
1Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia. lisa.pagano@mq.edu.au.
开发一个地方共识讨论模型可以标准化外科手术期间的护理. 基于证据的决策和临床医生的自主性是达成协议实施医疗保健途径的关键因素.
科学领域:
- 医疗保健管理的管理
- 临床实践标准化的标准化
- 定性研究方法 定性研究方法
背景情况:
- 术后护理的全球变化需要标准化的方法.
- 了解共识发展过程对于实施标准化护理途径至关重要.
- 在医疗实施中共识讨论的现有模型还没有得到很好的定义.
研究的目的:
- 开发一个模型,在实施标准化外科手术途径期间进行本地共识讨论.
- 描述地方共识讨论的操作化.
- 确定指导临床决策和共识的因素,并制定促进这些讨论的机制.
主要方法:
- 采用了一种定性,修改的基于理论的方法.
- 通过半结构面试和在澳大利亚悉尼一家私立医院的参与者观察来收集数据.
- 同时进行数据收集和分析,直到达到理论和.
主要成果:
- 开发了一个概念模型,整合了七个因素和八个达成共识的机制.
- 基于证据的决策是关于途径组件的共识的主要驱动力.
- 模糊的证据导致了由专业自主权,同行实践,患者偏好,外部实践和可行性影响的决策.
结论:
- 标准化医疗保健的共识模型为医疗保健组织提供了一个框架,以减少护理变化.
- 这项研究增强了对临床医生在护理标准化方面的成功共识讨论过程和决定因素的理解.
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