在PROSPR联盟的两个美国医疗保健系统中比较和改善异常宫癌查结果的流程映射
Robin T Higashi1, Lisa Quirk1, Gina Kruse2
1The University of Texas Southwestern Medical Center, Dallas, TX, United States.
概括
复杂的宫癌查指南需要更好的协调. 过程映射确定了护理缺口,并突出了系统层面的工具,以改善临床医生的决策和患者护理过渡.
科学领域:
- 妇科医生
- 医疗保健管理
- 公共卫生
背景情况:
- 宫癌查指南越来越复杂.
- 对于影响指南实施的因素的理解是有限的.
- 流程映射可以揭示组织流程和干预机会.
研究的目的:
- 通过两种不同的卫生系统对异常宫癌查结果进行比较.
- 通过过程映射来识别护理缺口和潜在的干预措施.
主要方法:
- 进行了一次代的多模式定性评估.
- 通过与临床医生和工作人员的采访生成和验证过程图.
- 使用快速和主题内容分析,与利益相关方的参与.
主要成果:
- 过程地图显示患者从专科转移到初级护理时存在护理差距.
- 这两种系统都实施了独特的策略,包括基于电子健康记录的决策支持和电子咨询.
- 通过门户网站与患者互动是一个常见的策略.
结论:
- 复杂的宫癌查指南需要系统级的决策支持和护理协调工具.
- 流程映射有效地记录工作流程,识别差距,并促进跨卫生系统的干预开发.
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