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[初级保健中的自我评估与质量发展:使用国际成熟度矩阵的德国试点研究结果]

[Self-assessment and quality development in primary care: results of the German pilot study using the International Maturity Matrix].

作者信息

Kuch Christine, Elwyn Glyn, Diel Franziska, Pfaff Holger, Bekkers Marie-Jet

机构信息

Medizinische Soziologie, Klinikum der Universität zu Köln, Köln.

出版信息

Z Evid Fortbild Qual Gesundhwes. 2010;104(8-9):682-90. doi: 10.1016/j.zefq.2010.07.001.

DOI:10.1016/j.zefq.2010.07.001
PMID:21129707
Abstract

The International Maturity Matrix has been developed with the aim to provide a European instrument for a facilitated self-assessment of primary care organisations. It covers seven dimensions; their implementation is evaluated by the whole practice team on six theoretically-founded levels of organisational development. The present paper will report the results of the German pilot study with 22 participating primary care practices. The purpose of the study was to test the feasibility of self-assessment with the International Maturity Matrix which, in addition to the practice team's self-assessment, also contains the development of options for improvement on the basis of benchmarking the practice's individual achievements with the results of the other participating practices. To summarise, the survey shows positive results for the participating practices; in two meetings, the time-saving process allows for sharing the different perspectives of the practice team members, identifying relevant strengths and weaknesses and developing ideas for improvement motivated by the benchmarking. These results can be interpreted as first promising indications of the high feasibility of the self-assessment process with the International Maturity Matrix. First applications of the International Maturity Matrix in different medical disciplines have been started.

摘要

国际成熟度矩阵的开发旨在提供一种欧洲工具,以便于对初级保健组织进行自我评估。它涵盖七个维度;整个实践团队会在六个基于理论的组织发展水平上对其实施情况进行评估。本文将报告德国针对22个参与的初级保健实践进行的试点研究结果。该研究的目的是测试使用国际成熟度矩阵进行自我评估的可行性,除了实践团队的自我评估外,该矩阵还包括根据将实践的个人成就与其他参与实践的结果进行基准比较来制定改进方案。总之,调查显示参与实践取得了积极成果;在两次会议中,节省时间的流程允许分享实践团队成员的不同观点,识别相关优势和劣势,并基于基准比较激发改进想法。这些结果可被解释为使用国际成熟度矩阵进行自我评估过程具有高度可行性的首个有希望的迹象。国际成熟度矩阵已开始在不同医学学科中首次应用。

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