Pope C, van Royen P, Baker R
Department of Social Medicine, University of Bristol, Bristol BS8 2PR, UK.
Qual Saf Health Care. 2002 Jun;11(2):148-52. doi: 10.1136/qhc.11.2.148.
There are no easy solutions to the problem of improving the quality of care. Research has shown how difficult it can be, but has failed to provide reliable and effective ways to change services and professional performance for the better. Much depends on the perspectives of users and the attitudes and behaviours of professionals in the context of their organisations and healthcare teams. Qualitative research offers a variety of methods for identifying what really matters to patients and carers, detecting obstacles to changing performance, and explaining why improvement does or does not occur. The use of such methods in future studies could lead to a better understanding of how to improve quality.
提高医疗质量问题没有简单的解决办法。研究表明这有多困难,但未能提供可靠且有效的方法来改善服务和专业表现。很大程度上取决于使用者的观点以及专业人员在其组织和医疗团队背景下的态度和行为。定性研究提供了多种方法,用于确定对患者和护理人员真正重要的事情,发现改变表现的障碍,并解释改善为何发生或未发生。在未来研究中使用这些方法可能会更好地理解如何提高质量。