影响质量改进计划实施的因素
Joseph Adrien Emmanuel Demes1,2, Lambert Farand2, Marie-Pascale Pomey2
1School of Medicine and Pharmacy, UEH, 89, Rue Oswald Durand, Port-Au-Prince, Haiti.
概括
在海地实施像HEALTHQUAL这样的质量改进计划需要了解关键的促进者和障碍. 协作,领导和团队所有权至关重要,而社会政治背景和资源限制带来了重大挑战.
科学领域:
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
- 加强卫生系统 加强卫生系统
背景情况:
- 质量不佳的医疗保健会对发病率和死亡率产生负面影响.
- 改善医疗保健流程,患者满意度和获得优质护理的战略至关重要.
- 海地公共卫生和人口部,捐助者和合作伙伴促进质量改善计划,包括HEALTHQUAL计划.
研究的目的:
- 确定促进和阻碍海地实施质量改进计划的因素.
- 为在海地卫生系统中优化HEALTHQUAL计划的推广提供见解.
主要方法:
- 使用多个案例研究设计的定性评估研究.
- 进行了38次半结构面试,观察和文档分析.
- 使用恒定比较方法和合成分析框架与Atlas.ti软件进行数据分析.
主要成果:
- 促进因素包括跨层次的协作,领导力,多学科的团队合作,外部压力,网络特征,团队所有权和优质基础设施.
- 抑制因素包括社会政治背景,组织文化,政策遗产,提供者的看法,缺乏问责制,健康信息系统不足和资源短缺.
结论:
- 领导者和决策者应考虑在海地成功规划和实施HEALTHQUAL计划时确定的背景因素.
- 对上下文变量的全面理解对于在任何时间点有效实施至关重要.
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