推进公平,以个人为中心的避孕护理,使用数据驱动的质量改进
Christine Dehlendorf1, Erin Wingo2, Lindsey Gibson1
1From the Department of Family and Community Medicine, School of Medicine, University of California, San Francisco, San Francisco, CA (CD, EW, LG, SGA, RK, DH).
一个以公平为重点的质量改进学习协作,改善了社区卫生中心的避孕护理. 这个倡议加强了以个人为中心的避孕咨询和查,促进了生殖健康平等.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 扩大获得高质量的避孕护理的机会对于实现生殖健康平等至关重要.
- 社区卫生中心 (CHC) 在提供初级保健方面发挥着至关重要的作用.
研究的目的:
- 评估以公平为重点的质量改进学习协作 (QILC) 对医疗保健中心的避孕护理提供的影响.
- 评估创新性绩效测量在改善避孕护理方面的有效性.
主要方法:
- 实施了为期9个月的QILC,包括学习课程,资源,同行学习和技术援助.
- 使用以人为中心的避孕咨询 (PCCC) 措施和两种电子临床质量措施 (eCQM) 来衡量绩效:避孕护理查 (CCS-SINC) 和避孕使用 (CU-SINC).
- 通过患者调查和电子健康记录收集QILC前后的数据.
主要成果:
- 中位数增加的CCS-SINC是14.4%.
- 在CU-SINC中,中位数的相对增长为4.9%.
- 在9个医疗保健中心中,有5个改善了PCCC分数,其中3个超过了高质量护理的80%基准.
结论:
- 参与以公平为重点,以测量为导向的QILC改善了以人为中心的避孕保健提供.
- 质量改善举措可以有效地提高初级保健机构的生殖健康保健服务.
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