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美国陆军-贝勒大学医疗保健管理项目:军事医疗系统中的循证结果

U.S. Army-Baylor University Health Care Administration Program: evidenced-based outcomes in the military health system.

作者信息

Mangelsdorff A David, Rogers Jody, Finstuen Kenn, Pryor Rene

机构信息

U.S. Army-Baylor University Graduate Program in Health Care Administration, 3151 Scott Road, building 2841, Fort Sam Houston, TX 78234-6135, USA.

出版信息

J Health Adm Educ. 2004 Winter;21(1):81-9.

Abstract

The purpose of this research is to assess the impact of an educational program on the Military Health System on some of the evidence-based educational outcomes for the Individual (student) and the Society (all Army Medical Treatment Facilities). The U.S. Army-Baylor University HCA program provides a unique opportunity to assess the impact of an educational program on the Military Health System (MHS). Since the majority of the graduate students are military officers who serve in military medical treatment facilities (MTFs), tracking their career progression allows assessing the value added of the U.S. Army-Baylor University HCA experience from 1951 to 2001 (n = 2234). The context of Society outcomes includes all the Army MTFs where U.S. Army-Baylor University HCA graduates execute their leadership skills. During the time from 1994 to 2001, all of the Army MTFs in the MHS (n = 38) were examined by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). In a similar but shorter time frame (1997-2001), DoD patient satisfaction assessments were conducted. The Individual outcomes (career advancement, increase in status, higher professional association membership) demonstrate that the selection criteria used for program admission appear to be successful. The Society outcomes showed higher JCAHO scores and satisfied consumers in Army facilities with Baylor graduates as the Deputy Commander for Administration (DCA). Continued internal program assessments (curriculum reviews) and external reviews (Accrediting Commission on Education for Health Services Administration accreditations of 5 years in 1987, 8 years in 1993 and 7 years in 2001, and 7 ACHE student chapter awards) attest to the strengths of the U.S. Army-Baylor University HCA program. Educating the MHS shareholders (patients, beneficiaries, professional and support staff, senior leaders) and leveraging technology to. share best practices for all administrators (including non-Baylor graduates) will help improve the quality patient care of the Military Health System and other healthcare systems.

摘要

本研究的目的是评估一项教育计划对军事卫生系统在个体(学生)和社会(所有陆军医疗设施)的一些循证教育成果方面的影响。美国陆军 - 贝勒大学医疗保健管理硕士(HCA)项目提供了一个独特的机会来评估一项教育计划对军事卫生系统(MHS)的影响。由于大多数研究生是在军事医疗设施(MTF)中服役的军官,追踪他们的职业发展历程有助于评估1951年至2001年期间(n = 2234)美国陆军 - 贝勒大学HCA经历所带来的附加值。社会成果的背景包括美国陆军 - 贝勒大学HCA毕业生施展其领导技能的所有陆军MTF。在1994年至2001年期间,医疗保健组织认证联合委员会(JCAHO)对军事卫生系统中的所有陆军MTF(n = 38)进行了检查。在一个类似但时间较短的时间段(1997 - 2001年)内,进行了国防部患者满意度评估。个体成果(职业晋升、地位提升、更高的专业协会会员资格)表明用于项目录取的选拔标准似乎是成功的。社会成果显示,在有贝勒大学毕业生担任行政副指挥官(DCA)的陆军设施中,JCAHO得分更高,消费者满意度更高。持续的内部项目评估(课程审查)和外部审查(1987年卫生服务管理教育认证委员会进行了为期5年的认证,1993年为8年,2001年为7年,以及7次美国医疗保健执行官协会学生分会奖项)证明了美国陆军 - 贝勒大学HCA项目的优势。教育军事卫生系统的利益相关者(患者、受益人、专业和辅助人员、高级领导)并利用技术分享所有管理人员(包括非贝勒大学毕业生)的最佳实践,将有助于提高军事卫生系统和其他医疗系统的优质患者护理水平。

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