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农村医疗卫生服务质量提升框架与行动议程

A framework and action agenda for quality improvement in rural health care.

作者信息

Calico Forrest W, Dillard Carole D, Moscovice Ira, Wakefield Mary K

机构信息

Office of Rural Health Policy, Health Resources and Services Administration, USA.

出版信息

J Rural Health. 2003 Summer;19(3):226-32. doi: 10.1111/j.1748-0361.2003.tb00567.x.

DOI:10.1111/j.1748-0361.2003.tb00567.x
PMID:12839129
Abstract

PURPOSE

The Agency for Healthcare Research and Quality and the federal Office of Rural Health Policy collaborated to convene an expert group to address issues of quality improvement in the rural health care environment.

OUTCOMES

The group identified issues, barriers, and opportunities related to bringing rural health care into the mainstream of the national quality "revolution." A framework for rural quality and specific action steps was proposed. Recommendations were made in the areas of workforce, organizational performance, measurement, dissemination of innovation, and external factors impacting quality. Specific recommendations included fostering development of rural consortia, relevant quality measures for the rural environment, technical assistance capacity, appropriate financial incentives, leadership capacity, and databases.

摘要

目的

医疗保健研究与质量局与联邦农村卫生政策办公室合作,召集了一个专家小组,以解决农村医疗保健环境中的质量改进问题。

成果

该小组确定了与将农村医疗保健纳入全国质量“革命”主流相关的问题、障碍和机遇。提出了农村质量框架和具体行动步骤。在劳动力、组织绩效、测量、创新传播以及影响质量的外部因素等领域提出了建议。具体建议包括促进农村联合体的发展、针对农村环境的相关质量措施、技术援助能力、适当的财政激励措施、领导能力以及数据库。

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