推进公平:精益领导者实践和前进的道路
Dorothy Y Hung1, Lillian C Levy1, Thomas G Rundall1
1School of Public Health, University of California at Berkeley.
The Milbank quarterly
|August 7, 2025
概括
医疗保健领导者可以使用精益管理来通过标准化流程和改善所有患者的结果测量来推进公平. 这种方法有助于减少护理差异,并确保高质量的服务可供各种人群使用.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高质量
- 健康 公平 卫生 公平
背景情况:
- 精益管理是一种以流程一致性为重点的质量改进策略.
- 它可以应用于减少健康不平等,改善对不同患者群体的护理.
- 关于领导者如何使用精益实践来实现健康公平和劳动力多样性的研究有限.
研究的目的:
- 检查医疗保健领导者如何利用精益管理实践来支持公平倡议.
- 了解领导者在培养公平与多样性的工作场所文化方面的活动.
主要方法:
- 美国五个医院卫生系统的67名领导人进行了深入采访.
- 使用并行编码分析了采访成绩单,其中92.6%的采访者同意.
- 确定了促进公平资产的精益方法的跨领域主题.
主要成果:
- 领导者利用精益的日常管理系统 (DMS) 来扩大股权倡议.
- DMS包括标准化实践,如分层聚集和领导者圆形化.
- 谦卑的调查有效地解决了安全问题和促进学习;建议将公平整合到战略目标中,并对数据进行分层.
结论:
- 医疗保健领导者可以利用精益管理来推进健康公平.
- 减少护理流程的变化和改善跨不同人群的结果测量是关键.
- 开发具有明确绩效指标的新测量系统对于股权问责至关重要.
相关概念视频
Motivational Cycle
751
The motivational cycle is a key concept that explains how individuals are motivated to meet their needs. At its core, the cycle revolves around four distinct stages: need, drive, goal-directed behavior, and goal achievement. These stages respond to imbalances in the body or mind, prompting actions that restore balance.
The cycle begins with a need. This need can arise from various conditions, such as hunger, thirst, or temperature changes. For instance, when an individual feels cold, their body...
The cycle begins with a need. This need can arise from various conditions, such as hunger, thirst, or temperature changes. For instance, when an individual feels cold, their body...
751
Ethical Dilemmas II
1.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.3K
Patient-centered Care
2.3K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.3K
Critical Thinking I
3.6K
Critical thinking helps decision-making and allows nurses to recognize barriers to success and find solutions to possible issues. It helps to brainstorm and implement ideas to achieve goals. Critical thinking helps acknowledge and state workflow inefficiencies while improving management techniques. Nurses understand the value of critical thinking and look for fellow nurses with critical thinking skills to upgrade their professional standards. Critical thinking can advance a nurse's career...
3.6K
Social Loafing
36.0K
Another way in which a group presence can affect performance is social loafing—the exertion of less effort by a person working together with a group. Social loafing occurs when our individual performance cannot be evaluated separately from the group. Thus, group performance declines on easy tasks (Karau & Williams, 1993). Essentially individual group members loaf and let other group members pick up the slack. Because each individual’s efforts cannot be evaluated,...
36.0K
Issues And Trends In Healthcare Delivery System
5.8K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.8K


