Massoud M Rashad, Kimble Leighann E, Goldmann Don, Ovretveit John, Dixon Nancy
USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, Quality & Performance Institute, University Research Co., LLC, 5404 Wisconsin Ave, Suite 800, Chevy Chase, MD 20815, USA.
Institute for Healthcare Improvement, 53 State Street, 19th Floor, Boston, MA 02109, USA.
Int J Qual Health Care. 2018 Apr 20;30(suppl_1):1-4. doi: 10.1093/intqhc/mzy020.
A fundamental question for the field of healthcare improvement is the extent to which the results achieved can be attributed to the changes that were implemented and whether or not these changes are generalizable. Answering these questions is particularly challenging because the healthcare context is complex, and the interventions themselves tend to be complex and multi-dimensional. The Salzburg Global Seminar Session 565-'Better Health Care: How do we learn about improvement?' was convened to address questions of attribution, generalizability and rigor, and to think through how to approach these concerns in the field of quality improvement. The Salzburg Global Seminar Session 565 brought together 61 leaders in improvement from 22 countries, including researchers, evaluators and improvers. The primary conclusion that resulted from the session was the need for evaluation to be embedded as an integral part of the improvement. We have invited participants of the seminar to contribute to writing this supplement, which consists of eight articles reflecting insights and learning from the Salzburg Global Seminar. This editorial serves as an introduction to the supplement. The supplement explains results and insights from Salzburg Global Seminar Session 565.
医疗保健改进领域的一个基本问题是，所取得的成果在多大程度上可归因于所实施的变革，以及这些变革是否具有普遍性。回答这些问题极具挑战性，因为医疗保健环境复杂，而且干预措施本身往往也复杂且具有多面性。萨尔茨堡全球研讨会第565期——“更好的医疗保健：我们如何了解改进？”——的召开，旨在解决归因、普遍性和严谨性问题，并深入思考如何在质量改进领域处理这些问题。萨尔茨堡全球研讨会第565期汇聚了来自22个国家的61位改进领域的领导者，包括研究人员、评估人员和改进者。该研讨会得出的主要结论是，需要将评估作为改进不可或缺的一部分。我们邀请了研讨会的参与者为撰写本增刊做出贡献，本增刊由八篇文章组成，反映了从萨尔茨堡全球研讨会中获得的见解和经验教训。这篇社论作为增刊的引言。增刊阐述了萨尔茨堡全球研讨会第565期的成果和见解。
