整合质量改善和实施科学方法和框架在医疗保健:一个系统的审查
Mia Bierbaum1,2, Stephanie Best3, Sharon Williams4
1Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.
BMC health services research
|April 16, 2025
概括
这次审查审查了质量改进 (QI) 和实施科学 (IS) 在医疗保健研究中是如何整合的. 调查结果显示,有机会更好地结合QI和IS,以提高医疗保健绩效和可持续性.
科学领域:
- 医疗保健研究 医疗保健研究
- 医疗保健服务研究 医疗服务研究
- 翻译科学 翻译科学
背景情况:
- 质量改进 (QI) 和实施科学 (IS) 在健康研究中被广泛使用.
- 关于在研究中整合QI和IS以及它们的综合价值的理解有限.
- 本综述探讨了QI和IS理论和策略在医疗保健研究中的整合.
研究的目的:
- 系统地审查质量改进 (QI) 和实施科学 (IS) 理论和策略如何在基于医疗保健的研究中集成.
- 探索QI和IS在研究中的综合价值和应用.
主要方法:
- 在五个数据库中进行系统搜索,选和检索的研究的全文审查.
- 排除重复,2014年之前的研究,系统/范围审查和协议.
- 使用预定义模板提取数据,使用QI最低质量标准集进行批判性评估,然后进行频率和叙事分析.
主要成果:
- 包括12项整合QI和IS方法的研究,用于在三级医疗保健中实施干预.
- 计划-做-研究-行动 (PDSA) 周期是最常见的QI工具.
- 理论领域框架,行为变化轮和实施研究综合框架经常被用作IS框架.
结论:
- 发现QI和IS领域之间缺乏一致的术语.
- 有机会加强QI和IS的整合,以改善研究设计,实施和可持续性.
- 更大的整合可以带来更好的医疗保健绩效.
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