Cunningham Suzanne, Taylor Brian J, Murphy Audrey
Regulation and Quality Improvement Authority , Belfast, Northern Ireland, UK.
Social Work, Ulster University , Belfast, Northern Ireland, UK.
J Evid Based Soc Work (2019). 2020 Jul-Aug;17(4):457-468. doi: 10.1080/26408066.2020.1770647. Epub 2020 Jun 5.
The growing range and complexity of community care services require robust approaches to ensuring quality.
This review collated studies on the use of standards in regulating community health and social care using Social Care Online, MEDLINE and CINAHL databases. Studies were appraised by two reviewers and synthesized by study themes.
Sixteen studies were synthesized under three themes: standards in quality assurance and quality improvement; effectiveness of standards; and design of regulatory standards. Standards facilitate providers in self-regulation and enable regulators to support and monitor improvement. Effectiveness of standards depends on their language and interpretation, and on organizational factors. There was little evidence of scales within quality standards.
There is continuing debate about self-regulation versus external regulation. Social care service regulation requires more research.
Regulatory organizations should take note of wider initiatives toward evidence-based practice in the design of quality standards.
社区护理服务的范围不断扩大且复杂性日益增加，这就需要采用强有力的方法来确保质量。
本综述通过“社会护理在线”、MEDLINE和CINAHL数据库，整理了关于在规范社区卫生和社会护理中使用标准的研究。研究由两名评审员进行评估，并按研究主题进行综合分析。
16项研究在三个主题下进行了综合分析：质量保证和质量改进中的标准；标准的有效性；以及监管标准的设计。标准有助于提供者进行自我监管，并使监管机构能够支持和监督改进情况。标准的有效性取决于其语言和解释，以及组织因素。质量标准中几乎没有量表的相关证据。
关于自我监管与外部监管的争论仍在继续。社会护理服务监管需要更多研究。
监管组织在设计质量标准时应关注更广泛的循证实践举措。
