一种用于评估养老院护理质量的系统框架。
A systems framework for evaluating nursing care quality in nursing homes.
作者信息
Unruh Lynn, Wan Thomas T H
机构信息
Health Services Administration, Department of Health Professions, College of Health and Public Affairs, HPA-2, Room 210-L, University of Central Florida, Orlando, Florida 32816-2200, USA.
出版信息
J Med Syst. 2004 Apr;28(2):197-214. doi: 10.1023/b:joms.0000023302.80118.74.
Given the ongoing concerns about the quality of care in nursing homes, a theoretical framework to guide a systems approach to quality is important. Existing frameworks either do not model causality, or do so in a linear fashion in which the actual linkages between components of quality may not be well specified. Through a review of frameworks for nursing home quality, and empirical studies on the subject, the authors construct a framework for nursing home quality that links contextual components of quality with structure, structure with process, and process with outcomes, focusing on nursing care quality. Intrastructural relationships and feedback mechanisms are also modeled. The framework is matched with a discussion of multilevel structural equation analysis for statistical application. Future research should expand the framework to include non-nursing components of quality.
鉴于人们持续关注养老院的护理质量，一个指导质量系统方法的理论框架很重要。现有的框架要么没有对因果关系进行建模，要么以线性方式进行建模，而质量各组成部分之间的实际联系可能没有得到很好的明确。通过对养老院质量框架的回顾以及关于该主题的实证研究，作者构建了一个养老院质量框架，该框架将质量的背景组成部分与结构联系起来，将结构与过程联系起来，将过程与结果联系起来，重点关注护理质量。还对结构内关系和反馈机制进行了建模。该框架与用于统计应用的多层次结构方程分析的讨论相匹配。未来的研究应扩展该框架，以纳入质量的非护理组成部分。
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