利益相关者对质量的看法如何影响医疗事务:整个生态系统的关键决策者的见解
Melissa Culhane Maravic, Suepattra G May, Elizabeth Oyekan1
1Precision AQ, Bethesda, Maryland.
概括
在建立合作伙伴关系时,医疗保健决策者将质量与声誉和战略一致性放在一起. 价值, 不仅仅是标准化的质量指标, 显著影响这些关键的业务交易.
科学领域:
- 医疗保健管理
- 医疗服务研究
- 组织行为
背景情况:
- 质量措施是医疗评估的重要组成部分,影响改善,监管和支付模式.
- 质量认知对医疗保健利益相关者之间的交易关系的影响仍未得到充分研究.
研究的目的:
- 探索医疗保健决策者如何在战略关系中感知和利用质量.
- 了解质量期望对医疗保健生态系统中的交易决策和联盟的影响.
主要方法:
- 通过对美国高层和高级决策者进行半结构化的深度访谈进行定性研究.
- 面试的重点是组织文化,战略重点,合作伙伴选择标准和交易驱动因素.
- 分析了采访的文字记录以确定关键主题.
主要成果:
- 无论是客观的 (如HEDIS,CAHPS) 还是主观的,质量是影响外部伙伴关系的几个因素之一.
- 合作伙伴的声誉,文化与使命的协调以及战略优先事项的实现是关键因素.
- 决策者经常将"价值"纳入他们的质量定义中,将其视为更重要的驱动因素.
结论:
- 利益相关者在战略上评估质量,影响交易关系和报告质量措施.
- 伙伴关系的内部决策过程是复杂的,并未完全被外部质量指标所反映.
- 政策制定者和监管机构必须了解这些战略驱动因素,
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