Improving quality of care in substance abuse treatment using five key process improvement principles.

Improving quality of care in substance abuse treatment using five key process improvement principles.
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DOI:
10.1007/s11414-011-9270-y
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发表时间:
2012-07
影响因子:
1.9
通讯作者:
McCarty, Dennis
McCarty, Dennis
中科院分区:
医学4区
文献类型:
--
作者:
Hoffman, Kim A.;Green, Carla A.;Ford, James H., II;Wisdom, Jennifer P.;Gustafson, David H.;McCarty, Dennis

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过程和质量改进技术已成功地应用于医疗保健领域,但在酒精和药物治疗方面制定这些战略的努力还不够。改善成瘾治疗网络(NIATx)教导参与的药物滥用治疗机构使用过程改进战略,以增加客户获得和保留治疗的机会。NIATx推荐了促进组织变革的五个原则:1)理解并参与客户; 2)解决关键问题; 3)选择一个强大的变革领导者; 4)从组织外部获得想法; 5)使用快速循环测试。使用案例研究,辅以跨机构的访谈数据分析,本文介绍了参与NIATx治疗机构,说明每个原则的应用。结果表明,最成功的组织在制定和测试变革战略时,如果不是全部,也会整合和应用这五项原则中的大部分。
Process and quality improvement techniques have been successfully applied in health care arenas, but efforts to institute these strategies in alcohol and drug treatment are underdeveloped. The Network for the Improvement of Addiction Treatment (NIATx) teaches participating substance abuse treatment agencies to use process improvement strategies to increase client access to, and retention in, treatment. NIATx recommends five principles to promote organizational change: 1) Understand and involve the customer; 2) Fix key problems; 3) Pick a powerful change leader; 4) Get ideas from outside the organization; and 5) Use rapid-cycle testing. Using case studies, supplemented with cross-agency analyses of interview data, this paper profiles participating NIATx treatment agencies that illustrate application of each principle. Results suggest that the most successful organizations integrate and apply most, if not all, of the five principles as they develop and test change strategies.
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