Health impact assessment and short-term medical missions: a methods study to evaluate quality of care.
Health impact assessment and short-term medical missions: a methods study to evaluate quality of care.
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DOI：
10.1186/1472-6963-8-121
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发表时间：
2008-06-02
影响因子：
2.8
通讯作者：
Crone R
中科院分区：
文献类型：
--
作者：
Maki J;Qualls M;White B;Kleefield S;Crone R
短期医疗团是向发展中国家提供保健的一种行之有效的手段。尽管有超过2.5亿美元和数千小时的志愿者致力于STTHEREY，但缺乏标准化的评估来评估患者安全，质量控制和使命影响。本项目的目标是设计和实施一种评估工具，该工具定义了STFIT确定的护理质量的客观参数。该研究分3个阶段进行：1）基本需求分析，以确定对STD 1质量至关重要的因素; 2）为使命人员和病人设计5项调查，以便能够根据第1阶段的因素进行360度评价; 3）用5项STD 1对调查进行实地测试。创建了一个评估工具，评估6个主要因素和30个次要因素，这些因素被认为是对STTRONIC质量很重要的。5名使命主任、43名工作人员、10名当地接待人员和55名患者完成了调查。在6项主要质量指标中，特派团在成本（平均得分86%）和影响（84%）方面表现最好。表现最差的是教育领域（64%）。效率、可持续性和准备程度的平均得分分别为76%、77%和73%。我们的研究提供了一个新的标准化工具，STMM评估。评估工具的使用查明了某一特定使命的强项和弱项，并与其他特派团相比，说明了业绩的一般趋势。我们预计，这一工具的使用可能会提高特派团提供的护理质量，并刺激特派团之间的解决方案共享和学术讨论。
Short-term medical missions (STMMs) are a well-established means of providing health care to the developing world. Despite over 250 million dollars and thousands of volunteer hours dedicated to STMMs, there is a lack of standardized evaluation to assess patient safety, quality control, and mission impact. The objective of this project is to design and implement an assessment tool that defines objective parameters of quality of care as identified by STMMs. The study was conducted in 3 phases: 1) Base-need analysis to determine factors critical to the quality of STMMs, 2) Design of 5 surveys for mission personnel and patients to enable 360-degree evaluation based on factors from phase 1, and 3) Field testing of the surveys with 5 STMMs. An evaluation tool was created assessing 6 major and 30 minor factors identified as important to the quality of STMMs. 5 mission directors, 43 personnel, 10 local hosts, and 55 patients completed the surveys. Of the 6 major measures of quality, missions performed best in Cost (mean score 86%), and Impact (84%). The poorest performance was in Education (64%). Efficiency, Sustainability, and Preparedness showed mean scores of 76%, 77%, and 73%, respectively. Our study provides a novel standardized tool for STMM evaluation. Use of the assessment instrument identified areas of strength and weakness of a particular mission, and delineated general trends in performance compared to other STMMs. We anticipate that the use of this tool may improve the quality of care provided by missions, and stimulate solution-sharing and scholarly discussion among missions.
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影响因子：
120.7
作者：
DONABEDIAN, A
通讯作者：
DONABEDIAN, A
影响因子：
0.9
作者：
Yeow, VKL;Lee, STT;Wilson, L
通讯作者：
Wilson, L
影响因子：
9.7
作者：
Eddy, DM
通讯作者：
Eddy, DM
DOI：
10.1002/chp.1340230103
发表时间：
2003-01-01
期刊：
The Journal of continuing education in the health professions
影响因子：
--
作者：
Lockyer, Jocelyn
通讯作者：
Lockyer, Jocelyn
影响因子：
2.9
作者：
Donabedian, A
通讯作者：
Donabedian, A