Quality collaboratives: lessons from research
Quality collaboratives: lessons from research
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DOI：
10.1136/qhc.11.4.345
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发表时间：
2002-12-01
影响因子：
--
通讯作者：
Wilson, T
中科院分区：
文献类型：
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作者：
Ovretveit, J;Bate, P;Wilson, T
许多国家越来越多地使用质量改进协作机制，以实现医疗保健的快速改善。然而，几乎没有独立的证据表明它们比其他方法更具成本效益，而且对如何使它们更有效也知之甚少。北美、英国和瑞典的研究人员正在进行一些系统的评估。本文介绍了这些研究人员的两次会议的共同想法。到目前为止的证据是，一些协作刺激改善病人护理和组织绩效，但有协作和团队之间的显着差异。研究人员就一些人不如其他人成功的可能原因达成了一致，并确定了组织者和团队需要解决的10个挑战，以实现改进。在缺乏更确凿的证据的情况下，这些指南可能对协作组织者、团队及其管理者有用，也可能有助于进一步研究协作者和医疗保健创新的传播。
Quality improvement collaboratives are increasingly being used in many countries to achieve rapid improvements in health care. However, there is little independent evidence that they are more cost effective than other methods, and little knowledge about how they could be made more effective. A number of systematic evaluations are being performed by researchers in North America, the UK, and Sweden. This paper presents the shared ideas from two meetings of these researchers. The evidence to date is that some collaboratives have stimulated improvements in patient care and organisational performance, but there are significant differences between collaboratives and teams. The researchers agreed on the possible reasons why some were less successful than others, and identified 10 challenges which organisers and teams need to address to achieve improvement. In the absence of more conclusive evidence, these guidelines are likely to be useful for collaborative organisers, teams and their managers and may also contribute to further research into collaboratives and the spread of innovations in health care.