在初级医疗保健中的绩效测量系统:一个系统的文献审查
Carlos Jefferson de Melo Santos1,2, Ava Santana Barbosa3, Ângelo Márcio Oliveira Sant'Anna3
1Federal University of Bahia, Polytechnic School. 02 Prof. Aristides Novis Street, Salvador, 40210 630, Brazil. carlos.jefferson@ufba.br.
在初级医疗保健 (PHC) 中,绩效测量系统 (PMS) 面临着实施挑战. 本次审查强调了全球PHC中有效的PMS所需的异质性和特定环境的调整.
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
- 公共卫生 公共卫生
背景情况:
- 绩效测量系统 (PMS) 在医疗保健中至关重要,但其在初级医疗保健 (PHC) 的发展和影响尚未得到充分研究.
- 关于PMS在PHC环境中的实施和有效性,存在很大的文献差距.
- 这项研究解决了在全球初级保健中对PMS的全面理解的需要.
研究的目的:
- 系统地审查和分析现有的构造,方法和PMS在初级保健中的挑战.
- 确定最佳实践,并为高性能初级医疗保健系统制定政策.
- 加强PHC在运营和管理层的决策过程.
主要方法:
- 系统的文献审查遵循PRISMA指南.
- 使用罗莎琳德·富兰克林定性研究评估仪器 (RF-QRA) 对14项选定的研究进行质量评估.
- 关注PMS研究的可转移性,可靠性,可信度和可证实性.
主要成果:
- 在PHC实施后的PMS评估和纵向监测中发现了挑战.
- 突出了方法论方法的不一致性,以及区域,运营和文化背景对PMS适应的重大影响.
- 对14项研究的分析揭示了全球PMS模型的异质性和多样化.
结论:
- 在不同的初级医疗保健环境中,PMS模型表现出异质性,多样化和不同的可靠性.
- 有效的PMS可以为旨在实现高性能初级医疗保健的公共政策提供信息.
- 通过可靠的绩效测量,研究结果支持改进运营和管理决策.
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