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首页> 外文期刊>Journal of public health management and practice: JPHMP >Quality improvement learning collaboratives in public health: findings from a multisite case study.
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Quality improvement learning collaboratives in public health: findings from a multisite case study.

机译：公共卫生领域的质量改进学习协作：多站点案例研究的发现。

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OBJECTIVES: This study was designed to (1) test a theory on the key drivers of a successful mini-collaborative, (2) describe the application of quality improvement (QI) approaches and techniques among mini-collaborative participants, and (3) identify key attributes that affect the spread and sustainability of QI efforts within a local public health agency. METHODS: A multisite case study methodology was used to evaluate a subset of mini-collaboratives and their participating local health departments that were working in specific target areas. Data were collected during semistructured interviews and while observing mini-collaborative meetings. Documentation reviews were also conducted. We used standard techniques to code the data on the basis of themes and connections between themes. RESULTS: The findings provide early evidence that support our case study theory on the drivers of a successful mini-collaborative including advanced planning, the selection of faculty, timely training and technical assistance, the role of senior leaders, the application of evidence-based practices, the use of an improvement model, evaluation efforts, communication, the availability of resources, target selection, and prior experience with and application of QI. While the case studies provided limited evidence of sustainability and broad spread of QI within participating states, mini-collaboratives appear to have had a major impact and will likely influence the work of participating local health departments going forward. CONCLUSIONS: Our findings suggest that the mini-collaboratives served as a catalyst for engaging local health departments in the theory and practice of QI.
机译：目的：本研究旨在（1）测试有关成功的小型协作组织关键驱动因素的理论，（2）描述小型协作参与者中质量改进（QI）方法和技术的应用，以及（3）确定影响当地公共卫生机构中QI的传播和可持续性的关键属性。方法：采用多站点案例研究方法来评估在特定目标区域工作的微型协作者及其参与的地方卫生部门的子集。在半结构化访谈期间以及观察小型协作会议时收集了数据。还进行了文件审查。我们使用标准技术根据主题和主题之间的联系对数据进行编码。结果：这些发现提供了早期的证据，这些证据支持了我们关于成功进行小型协作的驱动力的案例研究理论，包括高级计划，人员选择，及时培训和技术援助，高级领导者的作用，基于证据的实践的应用，改进模型的使用，评估工作，沟通，资源的可用性，目标选择以及QI的先验经验和应用。尽管案例研究提供了有限的可持续性证据以及参与国内部QI的广泛传播，但是小型协作组织似乎已经产生了重大影响，并且很可能会影响参与当地卫生部门的工作。结论：我们的研究结果表明，小型协作者可以促使当地卫生部门参与QI的理论和实践。

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