Sluijs E M, Dekker J
NIVEL Netherlands Institute of Primary Health Care, Utrecht.
Int J Qual Health Care. 1999 Aug;11(4):337-44. doi: 10.1093/intqhc/11.4.337.
To assess the diffusion of a quality improvement (QI) programme among allied health professions in The Netherlands.
Descriptive study, based on a questionnaire distributed to allied health professionals; response rate, 63%.
All subsectors in health care were covered, including primary care and institutional care. The participants were either salaried or self-employed in private practice.
The governing boards of the professional associations developed a QI policy. This study reports the evaluation of the diffusion of this policy.
Respondents' knowledge of the QI programme and their opinions with respect to the relevance of 15 QI activities. Respondents were asked whether they were currently taking part in QI activities and, if not, whether they intended to participate in them in the near future. In addition, the advantages of the QI programme and the barriers to further implementation which respondents perceived were assessed.
Most of the health professionals were familiar with the QI programme. The relevance of the QI activities for the profession was rated. Continuing education was ranked highest in priority. The respondents perceived the advantages of many of the QI activities. At the time of the study, less than one-third of the respondents were taking part in peer review, or complying with national guidelines. Respondents listed a number of barriers to further implementation.
The perceived advantages and barriers related to implementation appear to differ per QI activity. Consequently, implementation strategies should differ per QI activity and be tailored to the specific advantages and barriers of each one.
评估荷兰联合健康职业领域质量改进（QI）项目的推广情况。
描述性研究，基于向联合健康专业人员发放的问卷；回复率为63%。
涵盖医疗保健的所有子部门，包括初级保健和机构护理。参与者要么受雇于医疗机构，要么是私人执业的个体从业者。
专业协会的理事会制定了质量改进政策。本研究报告了该政策推广情况的评估结果。
受访者对质量改进项目的了解程度，以及他们对15项质量改进活动相关性的看法。询问受访者他们目前是否参与质量改进活动，如果没有，他们是否打算在不久的将来参与。此外，评估了质量改进项目的优势以及受访者认为的进一步实施的障碍。
大多数健康专业人员熟悉质量改进项目。对质量改进活动与该职业的相关性进行了评分。继续教育的优先级最高。受访者认识到许多质量改进活动的优势。在研究时，不到三分之一的受访者参与了同行评审或遵守国家指南。受访者列出了一些进一步实施的障碍。
与实施相关的优势和障碍似乎因质量改进活动而异。因此，实施策略应因质量改进活动而异，并根据每项活动的具体优势和障碍进行调整。
