参与方程式:一种理解驱动自愿医生参与数据驱动的临床绩效反的模型
Laura Desveaux1,2,3, Ruoxi Wang4, Simona C Minotti4,5
1Institute for Better Health, Trillium Health Partners, 2085 Hurontario St, Mississauga, ON, L5A 4G1, Canada. laura.desveaux@thp.ca.
Implementation science communications
|December 11, 2025
概括
医生对临床绩效反 (CPF) 的参与取决于对其价值,实用性及其行动能力的信念. 根据个人医生需求量身定制CPF倡议对于改善医疗保健质量至关重要.
科学领域:
- 医学教育 医学教育
- 改善医疗保健质量 改善医疗保健质量
- 医生行为 医生行为
背景情况:
- 临床绩效反 (CPF) 是医生发展和医疗保健改进的关键工具.
- 医生与CPF的参与往往受到低自愿参与的限制.
- 了解医生信仰对于提高CPF有效性至关重要.
研究的目的:
- 根据关键信念,制定医生与CPF的参与模式.
- 在医生中识别反导向的不同模式.
- 探索个人感知如何影响与CPF的参与.
主要方法:
- 一个横截面的多方法研究,结合了调查和对初级保健医生的定性访谈.
- 路径分析以验证参与的概念模型.
- 隐形形状分析以确定医生反导向小组.
主要成果:
- 医生与CPF的接触是由感知到的变革需求,价值,自我效能,效用和问责制所塑造的.
- 确定了三个不同的医生反导向配置文件:高,中等和低.
- 定性发现显示了与反评估相关的"参与者"和"非参与者"的心态.
结论:
- 医生与CPF的接触是异质的,受个人信仰和认知的影响.
- 医疗保健基金的举措必须明确地将反与患者的结果联系起来,并提供可操作的指导.
- 设计量身定制的CPF战略对于最大限度地发挥其在医疗保健改进方面的潜力至关重要.
相关概念视频
Methods of Documentation VI: Case Management Model
837
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
837
Obedience
35.2K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
35.2K
Patient-centered Care
2.8K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.8K
Ethics and Bioethics
2.6K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
2.6K
Sources of Self-Esteem II: Performance Feedback
172
Self-esteem is intricately tied to our perception of competence and our ability to exert control over our lives. One of the primary sources of this perception is performance feedback — the ongoing evaluation of our actions in terms of success and failure. According to Franks and Marolla (1976), people derive self-worth from experiencing themselves as causal agents, capable of achieving goals and overcoming obstacles. This process nurtures a critical component of self-esteem:...
172
Models of Health Promotion and Illness Prevention I
2.6K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.6K


