安全网医院和手术护理的质量
Shyamin Mehra1,2, Ashley Yang1, Maya Dornbrand-Lo1
1From the New Jersey Medical School, State University of New Jersey, Newark, NJ.
概括
大多数安全网医院 (SNH) 缺乏美国外科医生学院 (ACS) 的认证. 鼓励国家医疗保健机构获得ACS认证,可以提高服务不足人群的护理质量.
科学领域:
- 医疗保健管理的管理
- 改善外科手术的质量
- 健康差异 在健康上的差异
背景情况:
- 安全网医院 (SNHs) 对没有保险和服务不足的人群至关重要.
- 国家认证机构依赖公共资金,在获得认证方面面临障碍.
- 美国外科医生学院 (ACS) 认证促进基于证据的标准化护理.
研究的目的:
- 确定有ACS认证的外科手术项目SNH的数量.
- 评估美国SNH中ACS认证的现状.
主要方法:
- 利用公开可用的ACS认证数据.
- 与美国基本医院会员名单进行交叉引用,以确定SNH.
- 进行了对SNH及其ACS认证状态的描述性分析.
主要成果:
- 绝大多数国家级公共卫生机构都没有寻求ACS认证.
- 认证率因项目而异:癌症为36%,创伤为31%,减肥为21%,乳腺为13%,直肠癌为5%.
- 在SNH准入和认证方面观察到区域差异.
结论:
- 通过ACS认证,SNH在提供符合指导方针的护理方面可以获得好处.
- 鼓励ACS认证可以提高弱势患者群体获得护理的机会和护理质量.
- 解决金融和行政障碍是寻求认证的SNH的关键.
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