Fredriksson Mio, Halford Christina, Eldh Ann Catrine, Dahlström Tobias, Vengberg Sofie, Wallin Lars, Winblad Ulrika
Department of Public Health and Caring Sciences, Uppsala University, Box 564, SE-751 22 Uppsala, Sweden.
School of Education, Health, and Social Studies, Dalarna University, SE-79188 Falun, Sweden.
Int J Qual Health Care. 2017 Nov 1;29(7):909-915. doi: 10.1093/intqhc/mzx132.
To investigate the use of data from national quality registries (NQRs) in local quality improvement as well as purported key factors for effective clinical use in Sweden.
Comparative descriptive: a web survey of all Swedish hospitals participating in three NQRs with different levels of development (certification level).
Heads of the clinics and physician(s) at clinics participating in the Swedish Stroke Register (Riksstroke), the Swedish National Registry of Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks) and the Swedish Lung Cancer Registry (NLCR).
MAIN OUTCOME MEASURE(S): Individual and unit level use of NQRs in local quality improvement, and perceptions on data quality, organizational conditions and user motivation.
Riksstroke data were reported as most extensively used at individual and unit levels (x̅ 17.97 of 24 and x̅ 27.06 of 35). Data quality and usefulness was considered high for the two most developed NQRs (x̅ 19.86 for Riksstroke and x̅ 19.89 for GallRiks of 25). Organizational conditions were estimated at the same level for Riksstroke and GallRiks (x̅ 12.90 and x̅ 13.28 of 20) while the least developed registry, the NLCR, had lower estimates (x̅ 10.32). In Riksstroke, the managers requested registry data more often (x̅ 15.17 of 20).
While there were significant differences between registries in key factors such as management interest, use of NQR data in local quality improvement seems rather prevalent, at least for Riksstroke. The link between the registry's level of development and factors important for routinization of innovations such as NQRs needs investigation.
调查国家质量登记处（NQR）的数据在地方质量改进中的应用情况，以及瑞典有效临床应用的所谓关键因素。
比较描述性研究：对参与三个不同发展水平（认证水平）的NQR的所有瑞典医院进行网络调查。
参与瑞典卒中登记处（Riksstroke）、瑞典胆结石手术和内镜逆行胰胆管造影国家登记处（GallRiks）以及瑞典肺癌登记处（NLCR）的诊所负责人和诊所医生。
NQR在地方质量改进中的个人和单位层面应用情况，以及对数据质量、组织条件和用户动机的看法。
Riksstroke的数据在个人和单位层面的应用最为广泛（24项中的均值为17.97，35项中的均值为27.06）。对于两个最发达的NQR，数据质量和有用性被认为较高（Riksstroke为25项中的均值19.86，GallRiks为25项中的均值19.89）。Riksstroke和GallRiks的组织条件估计处于同一水平（20项中的均值分别为12.90和13.28），而最不发达的登记处NLCR的估计值较低（均值为10.32）。在Riksstroke中，管理人员更频繁地要求提供登记处数据（20项中的均值为15.17）。
虽然在管理兴趣等关键因素方面登记处之间存在显著差异，但NQR数据在地方质量改进中的应用似乎相当普遍，至少对于Riksstroke是这样。登记处的发展水平与对诸如NQR等创新常规化重要的因素之间的联系需要进行调查。
