...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Health Services Research & Policy >What makes British general practitioners take part in a quality improvement scheme?
【24h】

What makes British general practitioners take part in a quality improvement scheme?

机译：是什么使英国全科医生参加了质量改进计划？

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objectives: To understand the reasons for the apparent success of a quality improvement scheme designed tonproduce widespread changes in chronic disease management in primary care.nMethods: Purposeful sample of 36 primary care staff, managers and specialists. Qualitative analysis of 27ninterviews in East Kent Health Authority area, where, over a three-year period, more than three-quarters of generalnpractitioners (GPs) had enrolled in a quality improvement programme which required them to meet challengingnchronic disease management targets (PRImary Care Clinical Effectiveness – PRICCE).nResults: Major changes in clinical practice appeared to have taken place as a result of participation in PRICCE.nThe scheme was signi. cantly dependent on leadership from the health authority and on local professional support.nFactors that motivated GPs to take part in the project included: a desire to improve patient care; . nancial incentives;nmaintenance of professional autonomy in how to reach the targets; maintenance of professional pride; and peernpressure. Good teamworking was essential to successful completion of the project and often improved as a result ofntaking part. The scheme included a combination of interventions known to be effective in producing professionalnbehavioural change.nConclusions: When managerial vision is aligned to professional values, and combined with a range of interventionsnknown to in uence professional behaviour including . nancial incentives, substantial changes in clinical practice cannresult. Lessons are drawn for future quality improvement programmes in the National Health Service.
机译：目的：了解设计的质量改进计划取得明显成功的原因，从而使初级保健中的慢性疾病管理发生广泛变化。n方法：对36名初级保健人员，管理人员和专家进行有目的的抽样调查。对肯特郡东部卫生局地区27次访谈的定性分析，在过去三年中，超过四分之三的普通科医生（GP）参加了一项质量改善计划，该计划要求他们达到具有挑战性的慢性病管理目标（PRImary Care Clinical效果–PRICCE。n结果：由于参加PRICCE，临床实践似乎发生了重大变化。n该计划意义重大。 n促使全科医生参加该项目的因素包括：改善患者护理的愿望； 。财政激励措施；在实现目标方面保持专业自主权；保持职业自豪感；和对等压力。良好的团队合作对于成功完成项目必不可少，并且由于参与而不断改善。该方案包括已知可有效产生专业行为改变的干预措施。n结论：当管理者的愿景与职业价值观保持一致时，并结合一系列影响职业行为的已知干预措施，包括。财务诱因，导致临床实践发生重大变化。为国家卫生局未来的质量改进计划吸取了教训。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号