农村外科和产科护理的质量指标:修改后的德尔菲共识研究
Anshu Parajulee1, Abdo Souraya1, Nancy Humber2
1Centre for Rural Health Research, Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada.
PloS one
|October 13, 2025
概括
这项研究确定了农村外科和产科护理的关键质量指标. 基于共识的方法确保了对低体积设置的相关性,改善了医疗保健质量测量.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 农村卫生服务研究 农村卫生服务研究
- 手术和产科护理评估评估
背景情况:
- 在农村医院中测量手术和产科护理的质量存在独特的挑战.
- 现有的质量指标可能无法充分反映农村医疗保健环境的现实.
- 要评估农村医疗保健质量,需要一个与环境相关的框架.
研究的目的:
- 为评估农村医院的外科和产科护理质量建立基于共识的,与背景相关的指标.
- 调整质量测量方法,以适应低量农村环境的特殊约束和特征.
主要方法:
- 采用了经过修改的Delphi过程,涉及两轮电子调查.
- 加拿大51名医疗保健专业人员,包括农村程序员和质量专家,参加了会议.
- 参与者对拟议的质量指标的优先级进行了评价,在177项措施中,共识达到了115项.
主要成果:
- 提出的质量措施中,很大一部分 (65%) 达到了共识.
- 专家参与者同意将这些措施作为农村外科和产科质量评估的优先事项.
- 定性反强调了在农村环境中罕见的不良结果的低相关性,并强调了数据的实际解释.
结论:
- 经过修改的德尔菲过程成功地确定了根据农村实践现实量身定制的外科和产科质量指标.
- 该方法适应了以城市为中心的方法中经常错过的因素,例如以团队为基础的护理和有限的专家访问.
- 这些背景嵌入的指标为农村医疗保健的质量评估提供了更合适的框架.
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