Unger Jean-Pierre, Marchal Bruno, Dugas Sylvie, Wuidar Marie-Jeanne, Burdet Daniel, Leemans Pierre, Unger Jacques
Prince Leopold Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium.
Int J Integr Care. 2004;4:e18. doi: 10.5334/ijic.99. Epub 2004 May 19.
This case study aims to demonstrate the method's feasibility and capacity to improve quality of care. Several drawbacks attached to tracer condition and selected procedure audits oblige clinicians to rely on external evaluators. Interface flow process audit is an alternative method, which also favours integration of health care across institutions divide.
An action research study was carried out to test the feasibility of interface flow process audit and its impact on quality improvement. An anonymous questionnaire was carried out to assess the participants' perception of the process.
In this study, interface flow process audit brought together general practitioners and hospital doctors to analyse the co-ordination of their activities across the primary-secondary interface. Human factors and organisational characteristics had a clear influence on implementation of the solutions. In general, the participants confirmed that the interface flow process audit helped them to analyse the quality of case management both at primary and secondary care level.
The interface flow process audit appears a useful method for regular in-service self-evaluation. Its practice enabled to address a wide scope of clinical, managerial and economical problems. Bridging the primary-secondary care gap, interface flow process audit's focus on the patient's career combined with the broad scope of problems that can be analysed are particularly powerful features. The methodology would benefit from an evaluation of its practice on larger scale.
本案例研究旨在证明该方法在提高医疗质量方面的可行性和能力。追踪条件和选定程序审核存在的一些缺陷迫使临床医生依赖外部评估人员。界面流程审核是一种替代方法，它也有利于跨机构划分整合医疗保健。
开展了一项行动研究，以测试界面流程审核的可行性及其对质量改进的影响。通过一份匿名问卷来评估参与者对该流程的看法。
在本研究中，界面流程审核将全科医生和医院医生聚集在一起，以分析他们在初级-二级医疗界面的活动协调情况。人为因素和组织特征对解决方案的实施有明显影响。总体而言，参与者确认界面流程审核有助于他们分析初级和二级医疗层面的病例管理质量。
界面流程审核似乎是一种进行定期在职自我评估的有用方法。其应用能够解决广泛的临床、管理和经济问题。弥合初级-二级医疗差距，界面流程审核对患者就医过程的关注以及可分析问题的广泛范围是其特别强大的特征。该方法将受益于对其在更大规模上应用的评估。
