产科医院发展认证模块:一项混合方法研究
Ali Ghaffarian1, Azam Cheraghi2, Masoud Ferdosi3
1Department of Health Services Management, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
背景:
评估医院服务质量最重要且应用最广泛的方法之一是认证评审。目前,全球大多数认证机构对各类医院均采用相同的标准。本研究旨在弥补这一不足,开发针对妇产医院的认证评审模块。
材料与方法:
本应用型混合方法研究于2023年至2025年在伊朗开展,分为两个阶段进行。第一阶段采用描述性质性研究方法,收集参与者对潜在模块的意见。在研究团队进行多轮讨论并结合专家意见后,第二阶段整合第一阶段的研究结果,构建初步的认证模型,随后进入德尔菲法阶段。专家组召开一次会议,并独立开展一轮德尔菲调查,以完善和验证该模型。
结果:
在参与者提出的11个模块中,有7个在第二阶段获得批准并被纳入模型。产科医院的详细模块最终确定为以下类别:领导力与管理、持续质量改进、患者安全与感染控制、门诊及辅助临床服务、患者参与、药物管理以及不孕症护理。产科医院与其他医院认证模块之间的唯一区别在于不孕症这一项标准。
结论:
模块层面的总体认证框架在各类医院之间基本保持一致。然而,通过系统性地制定和实施针对性的标准,这一方法将进一步完善认证流程,提升妇产医院所提供的医疗服务的质量。
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