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基于外科患者诊所发展指标模型的多层次能力评估和发展系统 (MSRK PMSP) 的开发和试点实施
A Abzaliyeva1, M Kulzhanov1, M Laktionova1
1College of Medicine, University of Tikrit, Iraq.
一个新的模型,即使用门诊诊所发展指标模型 (IMORP) 的初级医疗保健组织能力发展多层次系统 (MSRK PMSP),有助于评估PHC的组织成熟度. 它提供了一种结构化的方法,用于针对性地改善门诊机构的质量.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 组织发展组织发展.
背景情况:
- 对初级医疗保健 (PHC) 组织成熟度的可重复评估对质量,安全和可持续性至关重要.
- 像认证和审计这样的现有方法缺乏对门诊机构的综合,面向发展的观点.
研究的目的:
- 根据门诊诊所发展指标模型 (IMORP) 制定初级医疗机构能力发展的多级系统 (MSRK PMSP).
- 评估IMORP模型在城市多诊所的可行性和适用性.
主要方法:
- 该IMORP模型是使用八个城市多诊所的六年监测计划 (2020-2025) 的汇总数据开发的.
- 组织成熟度在七个领域结构化,有四个成熟度层.
- 统计分析包括描述性统计,克鲁斯卡尔-瓦利斯测试和重复测量ANOVA/弗里德曼测试.
主要成果:
- IMORP模型显示了明确的管理解释性和域级诊断.
- 观察到临床水平平均IMORP得分的显著差异 (p<0.001),得分范围从60.0±3.3到105.3±8.1.1.
- 所有八个贷款都属于"中等"期限级,尽管得分有所不同,这表明结构异质.
结论:
- MSRK PMSP (IMORP) 为医疗保健机构提供了一个实用,多领域的工具,支持诊断分析和改进规划.
- 未来的工作将涉及对更大的样本 (≥35个多诊所) 进行全面的心理测定验证,以确定可靠性和有效性.
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