ASSESSING HEALTH CARE SETTINGS TO IMPROVE QUALITY

我们建议召开一个为期2.5天的会议，题为“评估卫生保健设置的组织特征以提高护理质量”。本次会议的结构将促进我们对卫生保健环境的组织特征的理解和衡量，这些组织特征有利于提高护理质量。拟议会议的具体目标是：1。审查并完善描述卫生保健环境的重要组织特征及其与护理质量和患者结果的关系的拟议概念框架。2. 确定或促进制定用于评估卫生保健环境重要组织特征的措施“工具箱”。3. 回顾当前组织评估在正在进行或最近完成的研究中的应用，以及它们对理解和设计更有效的变革过程以提高护理质量的影响。4. 利用概念框架和实例，确定卫生保健环境中可修改的方面以及改善卫生保健质量的适当程序和干预措施。会议规划委员会召集了一批令人印象深刻的国家和地方参与者，作为提议的演讲者、讨论者或会议参与者。这些人来自不同的学科，包括家庭医学、普通内科、组织发展、心理学、人类学、护理学和公共卫生。与会者将在应用多学科方法了解卫生保健环境以提高质量方面带来丰富的知识和经验。会议论文集和专著将出版，以传播支持这一研究领域的理论和方法。

We propose to convene a 2.5-day conference titled, Assessing Organizational Features of Health Care Settings to Improve Quality of Care. This conference will be structured to advance our understanding and measurement of those organizational characteristics of health care settings that are amenable to improve the quality of care. Specific objectives of the proposed conference are to: 1. Review and refine a proposed conceptual framework that describes important organizational features of health care settings and their relationship to quality of care and patient outcomes. 2. Identify or foster development of a "tool box" of measures for assessing important organizational features of health care settings. 3. Review current applications of organizational assessment in ongoing or recently completed research, and their implications for understanding and designing more effective change processes to improve quality of care. 4. Using the conceptual framework and case examples, identify modifiable aspects of health care environments and appropriate processes and interventions to improve the quality of care. The conference planning committee has assembled an impressive group of national and local participants to serve as proposed speakers, discussants or conference participants. These people come from a variety of disciplines including family medicine, general internal medicine, organizational development, psychology, anthropology, nursing and public health. Conference participants will bring a wealth of knowledge and experience in the application of multidisciplinary approaches for understanding health care settings to improve quality. Both Conference Proceedings and a Monograph will be published to disseminate both the theory and methods that support this area of research.