Chin Marshall H, Kirchhoff Anne C, Schlotthauer Amy E, Graber Jessica E, Brown Sydney E S, Rimington Ann, Drum Melinda L, Schaefer Cynthia T, Heuer Loretta J, Huang Elbert S, Shook Morgan E, Tang Hui, Casalino Lawrence P
Section of General Internal Medicine, Department of Medicine, The University of Chicago, IL 60637, USA.
J Ambul Care Manage. 2008 Oct-Dec;31(4):319-29. doi: 10.1097/01.JAC.0000336551.67922.2f.
The Health Disparities Collaboratives are the largest national quality improvement (QI) initiatives in community health centers. This article identifies the incentives and assistance personnel believe are necessary to sustain QI. In 2004, 1006 survey respondents (response rate 67%) at 165 centers cited lack of resources, time, and staff burnout as common barriers. Release time was the most desired personal incentive. The highest funding priorities were direct patient care services (44% ranked no. 1), data entry (34%), and staff time for QI (26%). Participants also needed help with patient self-management (73%), information systems (77%), and getting providers to follow guidelines (64%).
健康差异协作组织是社区卫生中心最大的全国性质量改进（QI）倡议。本文确定了人员认为维持质量改进所需的激励措施和援助。2004年，165个中心的1006名调查受访者（回复率67%）指出，资源匮乏、时间不足和员工倦怠是常见障碍。脱产时间是最期望的个人激励措施。最高的资金优先事项是直接患者护理服务（44%列为第一）、数据录入（34%）和用于质量改进的员工时间（26%）。参与者还需要在患者自我管理（73%）、信息系统（77%）以及让提供者遵循指南（64%）方面获得帮助。
