McNeill Dwight, Kelley Ed
Agency for Healthcare Research and Quality, US Department of Health and Human Services, Rockville, MD 20850, USA.
Med Care. 2005 Mar;43(3 Suppl):I82-8. doi: 10.1097/00005650-200503001-00012.
The purpose of the National Reports on Healthcare Quality and Disparities is to enhance awareness of quality and health care disparities, track progress, understand variations, and catalyze improvements in health care.
The objective of this paper is to propose a model that will facilitate a user's progression from knowledge to action and to show how the reports, its data warehouse, associated products, and Agency for Healthcare Research and Quality resources are integrated and focused on a comprehensive campaign to improve health care quality.
The design of the paper is to present a conceptual model and to show how implementation strategies for the reports fit the model.
The authors propose a quality improvement supply chain model to help elucidate the links of the process, corresponding developmental stages that potential users need to master and progress through, and "just-in-time" supply chain inputs at each of the corresponding stages, and populate the model with examples.
The traditional ways of disseminating knowledge derived from science through reports and conferences are inadequate to the humbling need for vast improvements in the US health care system. Our model suggests the need for a wide variety of information, packaged in a diverse ways, and delivered just in time and on demand. It encourages the alignment of decision makers and researchers, along with information intermediaries and innovation brokers, to make the information production cycle more efficient and effective. Future iterations of the reports will improve relevance, meaning, and distribution of information to facilitate its uptake by potential users.
《医疗质量与差异国家报告》的目的是提高对医疗质量和差异的认识,跟踪进展情况,了解差异所在,并推动医疗保健的改善。
本文的目标是提出一个模型,以促进用户从知识到行动的推进,并展示这些报告、其数据仓库、相关产品以及医疗保健研究与质量局的资源是如何整合并聚焦于一项全面的改善医疗质量运动的。
本文的设计是呈现一个概念模型,并展示报告的实施策略如何符合该模型。
作者提出了一个质量改进供应链模型,以帮助阐明该过程的各个环节、潜在用户需要掌握和经历的相应发展阶段,以及每个相应阶段的“即时”供应链投入,并举例说明该模型。
通过报告和会议传播科学知识的传统方式,不足以满足美国医疗保健系统亟需大幅改善的需求。我们的模型表明,需要以多种方式打包的各种信息,并及时按需提供。它鼓励决策者、研究人员以及信息中介和创新经纪人保持一致,以使信息生产周期更高效、更有效。报告的未来版本将提高信息的相关性、意义和传播范围,以促进潜在用户对其的接受。