使用RAND修改的Delphi方法开发残疾人怀孕护理的质量指标
Kyara J Liu1, Evelina Pituch2, Kathryn Barrett3
1Dalla Lana School of Public Health, University of Toronto, Toronto, ON.
概括
这项研究开发了54个质量指标 (QI),以改善残疾人怀孕护理. 这些指标涵盖了护理的结构,临床和人际关系方面,提高了医疗保健质量.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 关于残疾人的研究.
- 孕产妇健康 孕产妇健康
背景情况:
- 对于残疾人来说,怀孕护理的质量需要改进.
- 现有的指标可能无法充分满足这一群体的独特需求.
研究的目的:
- 开发和验证适用于残疾人怀孕护理的质量指标 (QA).
主要方法:
- 一项范围审查从98项研究中确定了候选QA.
- 用RAND修改的Delphi方法对17名医疗保健提供者和10名残疾人进行验证.
- 三轮调查和重点小组根据重要性和可行性改进和选择QA.
主要成果:
- 从文献综述中开发了44个候选QA.
- 建立了54个QA的最终清单,其中43个在可行性上达成共识.
- 对所有QI的重要性达成共识,新增10个指标,5个指标修订.
结论:
- 开发的QI为优化残疾人怀孕护理提供了一个框架.
- 这些指标可以指导医疗保健提供者,管理人员和决策者提高护理质量.
- 实施这些QI可以带来更好的健康结果,为残疾人分娩.
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