实施血管服务质量改进:一个定性研究
Panagiota Birmpili1,2, Eleanor Atkins3,2, Jon R Boyle4
1Clinical Effectiveness Unit, Royal College of Surgeons of England, London, UK pbirmpili@rcseng.ac.uk.
BMJ open quality
|January 27, 2026
概括
周围动脉疾病质量改善计划 (PAD QIP) 通过促进合作,加速治疗. 团队和组织的支持对于实施血管外科手术的变化至关重要.
科学领域:
- 血管外科 血管外科
- 提高质量 提高科学 提高质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 周围动脉疾病质量改善计划 (PAD QIP) 是一项涉及11个英国血管外科中心的合作倡议,从2020年5月到2022年5月.
- 该计划旨在加快对外围动脉疾病 (PAD) 的治疗.
- 这项定性研究调查了人们对PAD QIP的看法,并确定了在血管外科实践中实施变革的障碍和促进因素.
研究的目的:
- 探索临床医生对外围动脉疾病质量改善计划 (PAD QIP) 的信仰.
- 确定影响PAD QIP参与的血管外科中心内变革实施的障碍和促进因素.
主要方法:
- 与来自参与血管中心的临床医生进行了16次半结构面试.
- 使用框架分析分析分析了采访数据,以实施研究综合框架 (CFIR) 的领域为指导.
主要成果:
- 出现了五个关键主题:计划结构,患者感知的益处,团队动态,资源可用性和COVID-19的影响.
- 程序元素,如时间框架,外部监测和同行比较,有助于获取资源. 准确的数据至关重要,但收集起来很繁.
- 高实施率与积极的团队信念,结构,兼容性,强大的网络,充足的资源,支持性的实施气候和明确的证据强度有关.
结论:
- 质量改进协作成功促进了对外围动脉疾病护理的变革的实施.
- 成功实施的关键因素包括强大的团队支持和强大的组织支持.
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