药物使用障碍护理的质量指标:一个范围审查协议
Ti-Amo DeRuz Richards1, Julia Kirkham2,3,4, Diane Lorenzetti5
1Psychiatry, University of Calgary, Calgary, Alberta, Canada tiamo.richards@ucalgary.ca.
BMJ open
|March 29, 2025
概括
本范围审查确定了物质使用障碍 (SUD) 护理的质量指标 (QI),以提高治疗质量. 它强调需要对SUD患者的护理质量进行例行测量.
科学领域:
- 公共卫生 公共卫生
- 改善医疗保健质量 改善医疗保健质量
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 药物使用障碍 (SUDs) 是一个重大的全球公共卫生挑战.
- 高质量的医疗保健障碍导致SUDs的治疗不足.
- 在实施基于证据的SUD护理方面存在差距,需要进行质量测量.
研究的目的:
- 进行对可用质量指标 (QI) 的范围审查,以评估SUD患者的护理质量 (QoC).
- 在SUD管理中识别和描述低QoC的区域.
- 为SUD护理中的质量改进计划提供信息.
主要方法:
- 利用阿克西和奥马利框架,JBI方法和PRISMA扩展用于范围审查.
- 在六个学术数据库和灰色文献 (1990-2023) 中搜索了报告QI的研究.
- 采用了主题分析,频率计数和修改的Delphi过程来进行数据合成和QI优先级.
主要成果:
- 确定了一系列用于评估SUD管理中的护理质量的QI.
- 描述了潜在的冗余和QI定义和数据要求的变化.
- 突出了在SUD护理中的QoC测量的复杂性.
结论:
- 尽管已建立了QI,但对SUD的QC的常规测量并不常见.
- 本综述为为SUD护理开发标准化QI提供了基础.
- 这些发现将指导未来使用基于人口的数据进行持续的QoC测量.
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