Improving Quality of Palliative Care Through Implementation of National Guidelines for Palliative Care.
Improving Quality of Palliative Care Through Implementation of National Guidelines for Palliative Care.
复制标题
通过实施国家姑息治疗指南提高姑息治疗的质量。
DOI：
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复制
发表时间：
2019
影响因子：
2.8
通讯作者：
A. Lee
中科院分区：
文献类型：
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作者：
T. J. Lo;P. Neo;T. Peh;R. Akhileswaran;Wei Ting Chen;A. Lee
背景
许多国家制定了姑息治疗指南和质量措施，以提高护理质量。目前的挑战是在全国范围内实施质量措施，以提高所有环境中的护理质量。
目的
本文介绍了国家姑息治疗指南（NGPC）在新加坡的发展和实施。
设计
NGPC是通过文献综述、多学科输入和改进的兰德德尔菲法开发的。通过文献综述和多学科投入制定了指南的质量措施，并通过对专业姑息治疗提供者的审计实施。
结果
NGPC包括13项准则和64项质量措施。2015年9月至2015年10月，共有11家姑息治疗服务机构（73.3%）参与了审计。查明了国家一级和服务一级在护理质量方面的差距，个别提供者查明了需要改进的优先领域。
结论
我们成功地制定了国家姑息治疗指南和质量措施。我们在全国各地的医疗机构中实施了自愿自我评估，以促进质量改进并培养质量改进文化。
BACKGROUND
Palliative care guidelines and quality measures have been developed in many countries to improve the quality of care. The challenge is to implement quality measures nationally to improve quality of care across all settings.
OBJECTIVE
This article describes the development and implementation of National Guidelines for Palliative Care (NGPC) in Singapore.
DESIGN
The NGPC was developed through literature review, multidisciplinary inputs, and modified RAND Delphi method. Quality measures for the guidelines were developed through literature review and multidisciplinary inputs and implemented with an audit of specialist palliative care providers.
RESULTS
The NGPC consisted of 13 guidelines and 64 quality measures. A total of 11 palliative care services (73.3%) participated in the audit from September 2015 to October 2015. National-level and service-level gaps in quality of care were identified and individual providers identified priority areas for improvement.
CONCLUSION
We successfully developed the national palliative care guidelines and quality measures. We implemented voluntary self-assessment among health care institutions in various settings nationally that serve to catalyze quality improvement and cultivate a culture of quality improvement.