Ryvicker Miriam, Marren Joan, Sobolewski Sally, Acampora Terese, Flannery Marki, Buff Elizabeth, Hess Ann Marie R, Rosati Robert J, Schwartz Theresa, Feldman Penny Hollander
Center for Home Care Policy and Research, Visiting Nurse Service of New York, NY, USA.
J Healthc Qual. 2008 Mar-Apr;30(2):48-58. doi: 10.1111/j.1945-1474.2008.tb01134.x.
This article describes the process of the spread of improvement strategies to improve relationships between professional and paraprofessional service providers within a large home healthcare organization and its partnering home health aide vendors. We describe the method for spreading the strategies, which emerged from a learning collaborative, and the successes and challenges of the spread. Two case studies highlight how the attributes of innovations and the methods for spreading them can influence the effectiveness of an improvement effort.
本文描述了在一家大型家庭医疗保健机构及其合作的家庭健康助理供应商内部，为改善专业和辅助专业服务提供商之间的关系而推广改进策略的过程。我们描述了从学习协作中产生的策略推广方法，以及推广过程中的成功经验和挑战。两个案例研究突出了创新的属性及其推广方法如何影响改进工作的有效性。
