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[西班牙医疗质量协会(SECA)关于新冠疫情后国家医疗服务体系恢复的提议]

[Proposals by the Spanish Society of Quality in Healthcare (SECA) for the recovery of the National Health Service after the COVID-19 pandemic].

作者信息

Bartolomé Benito E, Santiñá Vila M, Mediavilla Herrera I, Mira Solves J J

机构信息

Dirección Técnica de Procesos y Calidad, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, España; Vocal Junta Directiva SECA.

Dirección de Calidad y Seguridad Clínica, Hospital Clínic de Barcelona, Barcelona, España; Past-Presidente de SECA.

出版信息

J Healthc Qual Res. 2021 Jan-Feb;36(1):42-46. doi: 10.1016/j.jhqr.2020.07.003. Epub 2020 Oct 12.

Abstract

BACKGROUND

The SARS-CoV-2 pandemic has demanded responses for which the National Health System (NHS) was not prepared. The Spanish Society for Quality in Healthcare (SECA) has the mission of promoting quality in healthcare and contributing to its proper functioning.

OBJECTIVE

To present SECA recommendations to ensure the quality and safety of patients in the recovery of the NHS following the impact of the SARS-CoV-2 pandemic and the possibility of a resurgence.

METHODS

Qualitative study to seek consensus with the participation of 49 representatives of the different stakeholders (patients, managers, professionals, academics and researchers). The areas to be explored were: lessons learned, management of new care demands from COVID-19 patients, recompositing of templates, strengthening the resilience of professionals, new role of patients and contingency plans.

RESULTS

Four hundred and twenty-eight proposals were submitted. Once duplicates were deleted and similar proposals were merged, their number was reduced to 120. Of these, 60 proposals were prioritized and grouped into two categories of measures: (1) to recover the Health System (equity, accessibility, effectiveness, efficiency, safety, patient experience and work morale) and (2) to deal with possible outbreaks.

CONCLUSION

SECA responds to its commitment to society with recommendations to ensure quality of healthcare and patient safety in the COVID-19 Era.

摘要

背景

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行引发了一些应对措施,而国家卫生系统(NHS)对此并未做好准备。西班牙医疗质量协会(SECA)的使命是促进医疗质量并推动其正常运作。

目的

提出SECA的建议,以确保在SARS-CoV-2大流行的影响及疫情可能卷土重来之后,NHS恢复过程中患者的质量和安全。

方法

进行定性研究,寻求49位不同利益相关者(患者、管理人员、专业人员、学者和研究人员)代表的参与以达成共识。探讨的领域包括:吸取的经验教训、COVID-19患者新护理需求的管理、模板的重新组合、增强专业人员的适应能力、患者的新角色以及应急预案。

结果

共提交了428项提案。删除重复项并合并类似提案后,提案数量减少至120项。其中,60项提案被优先考虑并分为两类措施:(1)恢复卫生系统(公平性、可及性、有效性、效率、安全性、患者体验和工作士气);(2)应对可能的疫情爆发。

结论

SECA通过提出建议来履行其对社会的承诺,以确保在COVID-19时代的医疗质量和患者安全。

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