adjunct faculty, College of Health Sciences, University of Massachusetts, Lowell.
J Healthc Manag. 2018 Nov-Dec;63(6):427-444. doi: 10.1097/JHM-D-17-00171.
Healthcare reform and the implementation of a national quality strategy in the United States have increased emphasis on quality improvement. Additionally, as healthcare organizations focus on value, they are paying more attention to quality in the context of cost and seeking to address these concerns through various performance improvement initiatives. Given the importance of these initiatives, this study analyzed the improvement job positions posted by U.S. healthcare organizations, specifically with respect to the qualifications and skills required. The author conducted a content analysis of improvement job postings using an inductive approach to capture and categorize core information about each posting and a deductive approach to evaluate skills required for selected job areas. The results show that healthcare organizations have invested in a breadth of improvement positions across all levels of the organization. Many positions are tied to strategic initiatives. The greatest number of positions posted were in the performance improvement area, followed by quality improvement, process improvement, Lean, Six Sigma, and Lean Six Sigma. These research results may be useful to healthcare organizations for strategic resource planning purposes and to educators and professional associations to target programs that offer students and members the opportunity to gain needed qualifications and skills.
美国的医疗改革和国家质量战略的实施更加注重质量改进。此外，随着医疗机构关注价值，他们更加关注成本背景下的质量，并通过各种绩效改进举措来解决这些问题。鉴于这些举措的重要性，本研究分析了美国医疗机构发布的改进职位，特别是针对所需的资格和技能。作者采用归纳法对改进职位进行了内容分析，以捕捉和分类每个职位的核心信息，并采用演绎法来评估选定职位领域所需的技能。研究结果表明，医疗机构在组织的各个层面都投入了大量的改进职位。许多职位与战略计划有关。发布的职位最多的是绩效改进领域，其次是质量改进、流程改进、精益、六西格玛和精益六西格玛。这些研究结果可能对医疗机构的战略资源规划有用，也可能对教育者和专业协会有用，以针对提供学生和成员获得所需资格和技能的机会的项目。
