Hughes Rhidian
Centre for Health and Social Care, School for Policy Studies, University of Bristol, Bristol, UK.
Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(4-5):289-99. doi: 10.1108/09526860510602550.
Quality has an established history in health care. Audit, as a means of quality assessment, is well understood and the existing literature has identified links between audit and research processes. This paper reviews the relationships between audit and research processes, highlighting how audit can be improved through the principles and practice of social research.
DESIGN/METHODOLOGY/APPROACH: The review begins by defining the audit process. It goes on to explore salient relationships between clinical audit and research, grouped into the following broad themes: ethical considerations, highlighting responsibilities towards others and the need for ethical review for audit; asking questions and using appropriate methods, emphasising transparency in audit methods; conceptual issues, including identifying problematic concepts, such as "satisfaction", and the importance of reflexivity within audit; emphasising research in context, highlighting the benefits of vignettes and action research; complementary methods, demonstrating improvements for the quality of findings; and training and multidisciplinary working, suggesting the need for closer relationships between researchers and clinical practitioners.
Audit processes cannot be considered research. Both audit and research processes serve distinct purposes.
ORIGINALITY/VALUE: Attention to the principles of research when conducting audit are necessary to improve the quality of audit and, in turn, the quality of health care.
质量在医疗保健领域有着既定的历史。审核作为质量评估的一种手段，已广为人知，并且现有文献已确定了审核与研究过程之间的联系。本文回顾了审核与研究过程之间的关系，强调了如何通过社会研究的原则和实践来改进审核。
设计/方法/途径：该综述首先定义了审核过程。接着探讨临床审核与研究之间的显著关系，分为以下几个广泛主题：伦理考量，强调对他人的责任以及审核进行伦理审查的必要性；提出问题并使用适当方法，强调审核方法的透明度；概念问题，包括识别有问题的概念，如“满意度”，以及审核中反思性的重要性；强调情境中的研究，突出案例 vignettes 和行动研究的益处；互补方法，展示对研究结果质量的改进；以及培训和多学科合作，表明研究人员与临床从业者之间需要更紧密的关系。
审核过程不能被视为研究。审核和研究过程有着不同的目的。
原创性/价值：在进行审核时关注研究原则对于提高审核质量进而提高医疗保健质量是必要的。
