在进行地方共识讨论时达成协议的标准:一种定性研究
Lisa Pagano1, Janet C Long1, Emilie Francis-Auton1
1Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.
Journal of healthcare leadership
|May 12, 2025
概括
这项研究确定了在医疗保健环境中使用的四个共识标准:一致,委托,假设和优惠. 了解这些标准有助于组织选择适当的共识方法,以便更好地决策和实施.
科学领域:
- 医疗保健管理的管理
- 组织行为组织行为.
- 临床实践标准化的标准化
背景情况:
- 医疗保健环境是复杂的团队环境,需要自治利益相关者之间的共识才能实现有效的变革.
- 非正式的共识讨论是常见的实施策略,但共识的标准往往未被定义.
- 定义共识标准对于设计有效的共识建设策略至关重要.
研究的目的:
- 在地方共识讨论中确定和定义共识的关键领域.
- 通过更好地理解共识标准来规范医疗保健实践.
- 超越对医疗保健决策一致性的单一关注.
主要方法:
- 在澳大利亚一家私立医院使用修改接地理论进行的定性研究.
- 招募临床,非临床和领导人员,参与规范外科手术路径.
- 通过半结构面试和参与者观察收集的数据;同时使用编码技术进行分析.
主要成果:
- 确定了四个不同的共识标准:一致,委托,假设和优惠共识.
- 人们更喜欢团结一致,但其他类型出现了可行的替代方案.
- 每个标准都涉及独特的因素,机制,假设和实践考虑,形成了四个共识领域.
结论:
- 开发了一个结构化的框架来对医疗保健中的共识标准进行分类.
- 在当地的医疗保健讨论中,更广泛地理解了超越一致性的共识.
- 使组织能够战略性地选择共识方法,以改善决策和实施.
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