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柬埔寨质量改进合作中的经验教训。

Lessons learnt from quality improvement collaboratives in Cambodia.

机构信息

Asia Pacific Regional Office, FHI 360, Bangkok, Thailand

Cambodia Office, FHI 360, Phnom Penh, Cambodia.

出版信息

BMJ Glob Health. 2022 Mar;7(3). doi: 10.1136/bmjgh-2021-008245.

DOI:10.1136/bmjgh-2021-008245
PMID:35318264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8943723/
Abstract

Currently, Cambodia uses performance-based financing (PBF) and a national quality enhancement monitoring system as key components of its strategy to achieve universal health coverage and the health-related Sustainable Development Goals. PBF is one among many strategies to improve the quality of healthcare services and its effects and limitations have been widely documented. We share lessons learnt from the use of quality improvement collaboratives, a facility-based quality improvement strategy, to amplify and complement PBF to address specific service delivery gaps, improve provider competency, and increase patient trust and satisfaction in the health system, a driver of healthcare utilisation.

摘要

目前,柬埔寨将绩效激励型融资(PBF)和国家质量提升监测系统作为实现全民健康覆盖和与卫生相关的可持续发展目标的战略的关键组成部分。PBF 是众多改善医疗服务质量的策略之一,其效果和局限性已得到广泛记录。我们分享了使用质量改进协作组织的经验教训,这是一种基于医疗机构的质量改进策略,用于放大和补充 PBF,以解决特定的服务提供差距,提高提供者的能力,并增加患者对卫生系统的信任和满意度,这是推动医疗保健利用的因素之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ebc/8943723/2beab46854b4/bmjgh-2021-008245f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ebc/8943723/2beab46854b4/bmjgh-2021-008245f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ebc/8943723/2beab46854b4/bmjgh-2021-008245f01.jpg

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本文引用的文献

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2
Predictors of job satisfaction and intention to stay in the job among health-care providers in Uganda and Zambia.乌干达和赞比亚卫生保健提供者工作满意度和留职意愿的预测因素。
Int J Qual Health Care. 2021 Sep 29;33(3). doi: 10.1093/intqhc/mzab128.
3
Improving Health Service Quality in the Kingdom of Cambodia: A Policy Perspective.提高柬埔寨王国的卫生服务质量:政策视角。
新型冠状病毒肺炎疫情期间柬埔寨助产自学应用程序的推出及其可持续性
Glob Health Med. 2023 Jun 30;5(3):178-183. doi: 10.35772/ghm.2023.01021.
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'The objective was about not blaming one another': a qualitative study to explore how collaboration is experienced within quality improvement collaboratives in Ethiopia.目的是避免相互指责:一项在埃塞俄比亚探索质量改进合作中合作经验的定性研究。
Health Res Policy Syst. 2023 Jun 13;21(1):48. doi: 10.1186/s12961-023-00986-8.
Asia Pac J Public Health. 2020 Nov;32(8):426-429. doi: 10.1177/1010539520957841. Epub 2020 Sep 15.
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The effectiveness of continuous quality improvement for developing professional practice and improving health care outcomes: a systematic review.持续质量改进在发展专业实践和改善医疗保健结果方面的有效性:系统评价。
Implement Sci. 2020 Apr 19;15(1):23. doi: 10.1186/s13012-020-0975-2.
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Learning health systems: an empowering agenda for low-income and middle-income countries.学习型卫生系统:低收入和中等收入国家的一项赋权议程。
Lancet. 2020 Feb 15;395(10223):476-477. doi: 10.1016/S0140-6736(19)33134-4.
6
The effectiveness of the quality improvement collaborative strategy in low- and middle-income countries: A systematic review and meta-analysis.质量改进合作策略在中低收入国家的有效性:系统评价和荟萃分析。
PLoS One. 2019 Oct 3;14(10):e0221919. doi: 10.1371/journal.pone.0221919. eCollection 2019.
7
How to improve healthcare improvement-an essay by Mary Dixon-Woods.如何改善医疗保健——玛丽·迪克森 - 伍兹的一篇文章
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