澳大利亚感染预防和控制治理,战略和结构:为成功设计
Kathy Dempsey1, Susan Jain1, Patricia Bradd2
1Clinical Excellence Commission, Sydney, Australia; School of Population Health, UNSW Sydney, Sydney, Australia.
澳大利亚的感染预防和控制 (IPC) 治理非常多变. 由澳大利亚疾病控制中心 (AusCDC) 领导的标准化框架对于有效的IPC计划和减少医疗保健相关感染至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 传染病控制和控制传染病
背景情况:
- 澳大利亚的感染预防和控制 (IPC) 计划在治理,战略和组织结构方面表现出相当大的差异.
- 跨司法管辖区的IPC功能标准化和整合对于在卫生系统内推进IPC至关重要.
研究的目的:
- 调查澳大利亚联邦,州和地区司法管辖区的IPC计划的治理,战略和组织结构.
- 确定一个标准化和一致的IPC治理框架的基本要素.
主要方法:
- 采用了混合方法的方法,包括会议前的文件分析,对参与者的调查和专家小组讨论.
- 修改后的Delphi方法被用于建立共识和验证指导.
主要成果:
- 澳大利亚各地的IPC治理结构在很大程度上是可变的,报告的结构属于患者安全,公共卫生或传染病.
- 有效的IPC治理的关键要素包括领导专业知识 (42%),一致的结构 (30%) 和充足的资源 (18%).
- 澳大利亚疾病控制中心 (AusCDC) 被确定为加强国家IPC治理的潜在主导机构.
结论:
- 清晰的治理,战略和组织结构对于IPC计划的有效性和减少医疗保健相关感染至关重要.
- 一个开发的框架为全面的,标准化的国家IPC治理框架提供了洞察力,指导未来的优先事项.
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