《健康素养通用预防措施工具包演示：质量改进经验教训》
Demonstration of the Health Literacy Universal Precautions Toolkit: Lessons for Quality Improvement.
作者信息
Mabachi Natabhona M, Cifuentes Maribel, Barnard Juliana, Brega Angela G, Albright Karen, Weiss Barry D, Brach Cindy, West David
机构信息
American Academy of Family Physicians, Kansas City, Kansas (Dr Mabachi); Department of Family Medicine (Drs Cifuentes, Brega, and West), Children's Outcomes Research Program, School of Medicine (Ms Barnard and Drs Albright and West), and Colorado Health Outcomes Program (Dr Brega), University of Colorado Anschutz Medical Campus, Aurora; Department of Community and Behavioral Health, Colorado School of Public Health, Aurora (Drs Brega and Albright); Department of Family and Community Medicine, University of Arizona, Tucson (Dr Weiss); Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality, Rockville, Maryland (Ms Brach); and Department of Family Medicine, University of Kansas Medical Center, Kansas City (Dr Mabachi).
出版信息
J Ambul Care Manage. 2016 Jul-Sep;39(3):199-208. doi: 10.1097/JAC.0000000000000102.
The Agency for Healthcare Research and Quality Health Literacy Universal Precautions Toolkit was developed to help primary care practices assess and make changes to improve communication with and support for patients. Twelve diverse primary care practices implemented assigned tools over a 6-month period. Qualitative results revealed challenges practices experienced during implementation, including competing demands, bureaucratic hurdles, technological challenges, limited quality improvement experience, and limited leadership support. Practices used the Toolkit flexibly and recognized the efficiencies of implementing tools in tandem and in coordination with other quality improvement initiatives. Practices recommended reducing Toolkit density and making specific refinements.
医疗保健研究与质量机构的健康素养通用预防措施工具包旨在帮助初级保健机构进行评估并做出改变，以改善与患者的沟通并为患者提供支持。12家不同的初级保健机构在6个月的时间里实施了指定的工具。定性结果揭示了实施过程中各机构遇到的挑战，包括相互竞争的需求、官僚障碍、技术挑战、有限的质量改进经验以及有限的领导支持。各机构灵活使用该工具包，并认识到与其他质量改进举措协同实施工具的效率。各机构建议降低工具包的密度并进行具体改进。
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