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印度医疗服务质量网络的形成:挑战与未来之路

Formation of Quality of Care Network in India: Challenges and Way Forward.

作者信息

Datta Vikram, Srivastava Sushil, Singh Mahtab

机构信息

Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi, India. Correspondence to: Dr Vikram Datta, Director Professor, Department of Neonatology, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi, India.

University College of Medical Sciences and GTB Hospital, New Delhi, India.

出版信息

Indian Pediatr. 2018 Sep 15;55(9):824-827.

PMID:30345993
Abstract

India contributes to the largest pool of the global neonatal and under-five mortalities. The current healthcare delivery services have a scope for improvement in terms of the quality of care at the point of delivery. In this era of resource constraints across the low- and middle-income countries (LMIC), quality improvement techniques can be a game changer to positively address the common bottlenecks of health service delivery and increase community participation. Globally, networks of quality of care and collaboratives have demonstrated significant impact in improving processes of care and the quality of services delivered to the end user. The Nationwide quality of care network (NQOCN) is a self-sustaining network of quality improvement teams, which have cohesively led the spread and adoption of simple quality improvement strategies across the Indian subcontinent. The current perspective apprises the reader about NQOCN, its relevance and impact in current times.

摘要

印度是全球新生儿和五岁以下儿童死亡人数最多的国家之一。目前的医疗服务在分娩时的护理质量方面仍有改进空间。在中低收入国家面临资源限制的这个时代,质量改进技术可能成为改变局面的因素,从而积极解决医疗服务提供中的常见瓶颈问题,并提高社区参与度。在全球范围内,护理质量网络和协作组织已在改善护理流程及向终端用户提供的服务质量方面展现出重大影响。全国护理质量网络(NQOCN)是一个自我维持的质量改进团队网络,这些团队齐心协力在印度次大陆推广和采用了简单的质量改进策略。本观点文章向读者介绍了NQOCN及其在当下的相关性和影响。

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引用本文的文献

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Spread of quality improvement in healthcare across South Asian subcontinent.医疗保健质量改进在南亚次大陆的传播。
BMJ Open Qual. 2021 Jul;10(Suppl 1). doi: 10.1136/bmjoq-2021-001600.
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印度不同医疗服务提供体系层面即时医疗质量改进干预策略框架的制定:初步经验教训
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J Trop Pediatr. 2021 Jan 29;67(1). doi: 10.1093/tropej/fmab005.
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Effect of collaborative quality improvement on stillbirths, neonatal mortality and newborn care practices in hospitals of Telangana and Andhra Pradesh, India: evidence from a quasi-experimental mixed-methods study.协作式质量改进对印度特伦甘纳邦和安得拉邦医院死产、新生儿死亡和新生儿护理实践的影响:来自一项准实验性混合方法研究的证据。
Implement Sci. 2021 Jan 7;16(1):4. doi: 10.1186/s13012-020-01058-z.
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