支持性监督计划如何,为什么,在什么情况下可以改善疟疾病例管理? 一个现实的程序理论理论
Fatuma Manzi1,2, Jessie K Hamon1,3, Mena K Agbodjavou1,4
1U.S. President's Malaria Initiative (PMI), PMI Insights Consortium, 437 N 34th Street, Seattle, WA 98103, United States.
Health policy and planning
|March 27, 2025
概括
支持性监督 (SS) 计划通过专注于提供者接受度,整合到卫生系统和监督者与受监督者的关系来改善疟疾病例管理. 了解提供者的看法是有效和可持续的质量改进举措的关键.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 提高质量 提高质量
背景情况:
- 支持性监督 (SS) 计划对于通过改善医疗保健提供者的表现来提高医疗保健质量至关重要.
- 这些计划在低收入和中等收入国家越来越重要,以改善疟疾病例管理.
- 然而,驱动SS计划有效性的具体因素仍未得到充分研究.
研究的目的:
- 解释SS计划通过哪些机制来改善5岁以下儿童无并发性疟疾的设施管理.
- 确定影响坦桑尼亚和贝宁SS计划成功的上下文因素.
- 开发一个程序理论,解释SS程序结果的动态.
主要方法:
- 在坦桑尼亚和贝宁进行了现实的评估.
- 数据收集包括218次深入访谈,12次结构化访谈,154次病例管理审计和4次医疗机构审计.
- 一个程序理论是通过基于实证数据的团队分析来开发的.
主要成果:
- 确定了三个关键的可接受性机制:情感态度,自我效能和感知到的节目负担.
- 计划整合,访问频率,指导方法和合作影响了疟疾病例管理实践.
- 项目参与者对有效性的看法对可持续性至关重要.
结论:
- SS程序的结果是由程序演员的认知和情感反应驱动的.
- 有效的SS计划需要专注于提供者的可接受性和支持性的监督实践.
- 这些发现为全球设计和实施SS计划提供了可转移的见解.
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