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开发和使用标准化数据收集工具以支持和指导肌肉骨骼疾病诊疗实践。

Development and use of standardised data collection tools to support and inform musculoskeletal practice.

作者信息

Moore Ann P, Bryant Elizabeth C, Olivier George W J

机构信息

Clinical Research Centre for Health Professions, University of Brighton, Aldro Building, 49 Darley Road, Eastbourne, East Sussex BN20 7UR, UK.

出版信息

Man Ther. 2012 Dec;17(6):489-96. doi: 10.1016/j.math.2012.07.008. Epub 2012 Sep 7.

Abstract

Clinicians all over the world are increasingly being faced with the need to demonstrate and account for the way in which clinical services are delivered and the quality of the delivery. It is also imperative to develop a comprehensive profile of who is accessing these services, who benefits from these services; how much these services cost in terms of clinicians time, the use of other healthcare resources and the effectiveness of interventions utilised in relation to quality outcomes. Clinicians are themselves keen to have mechanisms to identify what approaches are being utilised in their own practice setting, how they work best and how they can be improved from a professional development perspective. They are also anxious to improve their skills based on informed reflective practice and identify gaps in their knowledge and skills. This masterclass identifies how standardised data collection (SDC) tools can be utilised in practice to gather the information required in a robust, agreed and accessible way. It summarises a method of SDC tool development and gives some examples of how SDC has been implemented in physiotherapy National Health Services and in physiotherapy private practice in the United Kingdom. The global relevance is that increasingly all physiotherapy services are being held and will be accountable for the quality and equity of care. In addition clinicians can find it useful to have benchmarks with which to compare their own and their departmental performance in terms of clinical activities and outcomes.

摘要

世界各地的临床医生越来越需要展示并说明临床服务的提供方式及其质量。同样迫切需要全面了解哪些人在使用这些服务、谁从这些服务中受益;就临床医生的时间、其他医疗资源的使用以及与质量结果相关的干预措施的有效性而言,这些服务的成本是多少。临床医生自己也渴望拥有一些机制,以确定在他们自己的实践环境中正在使用哪些方法、这些方法如何能发挥最佳效果以及从专业发展的角度如何改进这些方法。他们也急于基于明智的反思性实践来提高自己的技能,并找出自己知识和技能方面的差距。本次大师班确定了如何在实践中利用标准化数据收集(SDC)工具,以稳健、一致且可获取的方式收集所需信息。它总结了一种SDC工具开发方法,并给出了一些在英国国家医疗服务体系的物理治疗以及物理治疗私人诊所中实施SDC的示例。其全球意义在于,越来越多的所有物理治疗服务都将对护理质量和公平性负责。此外,临床医生可能会发现,有一些基准可用于比较他们自己以及所在科室在临床活动和结果方面的表现很有用。

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