从印度私营部门的分娩质量保证和改善计划中感知到的有效性和建议:使用RE-AIM框架进行定性评估
Lauren Spigel1, Suranjeen Pallipamula2, Rajat Chabba3
1Harvard T.H. Chan School of Public Health/Brigham and Women's Hospital, Boston, Massachusetts, USA.
BMJ public health
|February 28, 2025
概括
曼雅塔计划通过提供培训和认证,改善了印度的私人产妇护理. 参与者评价了其对员工能力和质量的影响,并建议其扩展以实现持续改进.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 产妇健康服务 产妇健康服务
- 私营部门 医疗保健 医疗保健
背景情况:
- 印度的私营部门的护理质量不一致,影响了设施分娩.
- 福格斯 (FOGSI) 的Manyata计划为私人产妇机构提供培训,指导和认证.
- 了解参与者的动机和计划价值对于其维持和规模至关重要.
研究的目的:
- 了解加入或不加入Manyata计划的动机.
- 评估参与者对Manyata计划的感知价值.
- 收集有关该计划持续性和可扩展性的建议.
主要方法:
- 与185名项目参与者 (设施所有者,护士,评估员,实施者,领导者) 进行了半结构化深度访谈.
- 使用演和归纳编码进行数据分析.
- 将代码映射到覆盖范围,有效性,采用,实施和维护 (RE-AIM) 框架,扩大规模.
主要成果:
- 设施所有者加入Manyata是由于FOGSI的附属性,同行影响和对标准化护理的渴望.
- 障碍包括成本,价值不明确,以及对实践改进的动机较低.
- 关键价值包括提高员工能力,护理质量,标准化流程和员工满意度.
结论:
- 持续的培训,指导和质量保证对于Manyata的维护至关重要.
- 推该程序在印度和国际上扩展.
- 学习的经验可以为私营部门参与的战略提供信息,以弥合产妇护理的质量差距.
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