对国际绩效指标和指标进行系统审查,这些指标和指标与英国的一般实践相关
Duncan Chambers1, Rebecca Mawson2, Justina Mettle-Nunoo3
1Sheffield Centre for Health and Related Research (SCHARR), The University of Sheffield, Sheffield, England, UK d.chambers@sheffield.ac.uk.
BMJ open quality
|October 15, 2025
概括
这项研究审查了英国初级保健质量改善 (QI) 和组织发展 (OD) 的绩效指标. 许多指标存在,但定义不佳,需要进一步工作来识别和评估医疗保健系统的有效指标.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高科学 提高质量
- 初级保健研究研究初级保健研究
背景情况:
- 医疗保健系统利用各种各样的绩效指标来提高质量 (QI) 和组织发展 (OD).
- 确定英国初级保健和一般实践的相关指标对于有效的QI和OD干预至关重要.
- 在实践中评估这些指标的证据基础是至关重要的.
研究的目的:
- 确定与英国初级保健中的QI和OD相关的绩效指标.
- 评估在英国一般实践中的QI和OD干预中使用这些指标的证据.
主要方法:
- 基于英国国家卫生服务初级保健文件的框架构建了审查的结构.
- 在四个数据库中进行文献搜索,确定了相关的评论和初级研究.
- 如果这些研究专注于指标/指标或报告使用已识别的指标的QA/OD举措,则将这些研究纳入.
主要成果:
- 包括28项研究:24项是指标/指标,4项是QI/OD举措.
- 识别的指标数从1到773不等.
- 英国QI/OD研究重点关注长期疾病的初始获取和自我护理;指标映射在方法上具有挑战性.
结论:
- 对于初级保健,存在许多潜在的绩效指标.
- 这些指标通常定义不完善,缺乏实际应用的例子.
- 需要进一步的研究来确定和严格评估初级保健中QI和OD的候选指标.
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