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医疗保健认证审查员风格类型学。

Health care accreditation surveyor styles typology.

作者信息

Greenfield David, Braithwaite Jeffrey, Pawsey Marjorie

机构信息

Centre for Clinical Governance Research, University of New South Wales, Sydney, Australia.

出版信息

Int J Health Care Qual Assur. 2008;21(5):435-43. doi: 10.1108/09526860810890422.

Abstract

PURPOSE

This paper aims to investigate how health care accreditation surveyors enact their role with a view to identifying a surveyor styles typology.

DESIGN/METHODOLOGY/APPROACH: This study was conducted in two phases. First, observational research was used to examine the conduct of a small survey team during the 2005 accreditation survey of a rural health service in Australia. The survey team was from the Australian Council on Healthcare Standards (ACHS), the major health care accreditation agency in Australia. Second, the emerging typology was reviewed by an expert panel of ACHS surveyors.

FINDINGS

A typology comprising three unique surveyor styles is identified--interrogator; explorer; and discusser. Additionally, a further style, the questioner, is hypothesised. RESEARCH LIMITATION/IMPLICATIONS: The typology has application for development by accreditation agencies to be used with surveyors as a self-reflection tool to improve learning and development. The knowledge gained about surveyors' styles can be used to match more effectively survey teams to organisations seeking accreditation. Further research is necessary to confirm these styles and examine whether other styles are apparent.

ORIGINALITY/VALUE: This study is an important step in examining the conduct of surveyors and opening up health care accreditation surveyor inter-rater reliability for further investigation.

摘要

目的

本文旨在研究医疗保健评审员如何履行其职责,以期确定评审员风格类型学。

设计/方法/途径:本研究分两个阶段进行。首先,采用观察性研究方法,对澳大利亚一家农村医疗服务机构2005年评审期间一个小型评审团队的工作进行考察。该评审团队来自澳大利亚主要的医疗保健评审机构——澳大利亚医疗保健标准委员会(ACHS)。其次,ACHS评审员专家小组对新出现的类型学进行了审查。

研究结果

确定了一种包含三种独特评审员风格的类型学——审问者型;探索者型;讨论者型。此外,还假设了另一种风格——提问者型。

研究局限性/启示:该类型学可由评审机构用于发展,作为评审员的自我反思工具,以促进学习与发展。所获得的关于评审员风格的知识可用于更有效地将评审团队与寻求评审的组织进行匹配。有必要进行进一步研究以确认这些风格,并考察是否还有其他明显的风格。

原创性/价值:本研究是审视评审员工作以及开启对医疗保健评审员评分者间信度进行进一步调查的重要一步。

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