高性能卫生系统的定义和关键概念:一个范围审查
Veronica Cho1, Joslyn Trowbridge1, Tyrone Perreira1
1Ontario Hospital Association, Toronto, Ontario, Canada.
BMJ open
|July 7, 2025
概括
定义高性能卫生系统是具有挑战性的,因为定义和经验证据有限. 需要进一步的研究,以建立共同的指标和战略,以提高医疗保健系统的性能.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 高性能卫生系统的概念对于评估和改善医疗保健服务至关重要.
- 现有的文献缺乏关于卫生系统中如何定义高绩效的综合理解.
研究的目的:
- 定义高绩效的卫生系统.
- 绘制对高性能医疗保健系统的定义和关键概念的文献.
主要方法:
- 进行了全面的范围审查.
- 搜索包括MEDLINE,EMBASE,CINAHL,Cochrane控制试验中央注册表和灰色文献,截至2024年7月.
- 包括35篇主要文章和47篇附带文件.
主要成果:
- 确定了高性能卫生系统的三个不同的定义.
- 研究成果主要集中在系统元素 (58%),系统评估 (32%) 和工具开发 (10%).
- 关键的知识缺口包括缺乏共同的定义和指标,将证据转化为实践的挑战,以及跨系统比较的困难.
结论:
- 有限的定义和经验证据标志着当前对高性能卫生系统的理解.
- 对于初级研究来说,有很大的机会来解决这些知识差距,并推动该领域的发展.
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