基层医疗认证计划实施的先决条件：一项系统评价与整合分析
The Prerequisites of Executing the Accreditation Program for Primary Healthcare: A Systematic Review and Meta-Synthesis.
作者信息
Etemadi Sina, Dehnavieh Reza, Pour Marjan Hedayati, Mehri Milad, Behzadi Anahita
机构信息
Healthcare Management, Faculty of Management and Medical Informatics, Kerman University of Medical Sciences, Kerman, Iran.
Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
出版信息
Iran J Public Health. 2024 Jan;53(1):59-69. doi: 10.18502/ijph.v53i1.14683.
BACKGROUND
In Iran, the primary healthcare system is the front-line for society's encounter with healthcare. Health planners aim to enhance quality and administer an accreditation program. This study examined program administration prerequisites through systematic review and meta-synthesis.
METHODS
We conducted a systematic review and meta-synthesis of qualitative literature using Thomas and Hudson's framework. Peer-reviewed papers were searched in Scopus, PubMed, Web of Science, Google, and Google Scholar up to 2023.
RESULTS
The search found 1308 articles, with 37 relevant ones selected for review. Data extraction included setting, participants, study design, data collection, analysis, and themes. Thirteen qualitative subthemes were identified and were categorized under three elements of the Donabedian model.
CONCLUSION
Before implementing a plan, it is crucial to consider its executive prerequisites. Revision and trial-and-error approaches can be costly and time-consuming, potentially hindering the plan's effectiveness and diverting organizations from their primary goal, leading to failure.
背景
在伊朗，初级医疗保健系统是社会接触医疗保健的第一线。卫生规划者旨在提高质量并实施一项认证计划。本研究通过系统评价和元综合分析来审视该计划的管理前提条件。
方法
我们使用托马斯和哈德逊的框架对定性文献进行了系统评价和元综合分析。截至2023年，在Scopus、PubMed、科学网、谷歌和谷歌学术中检索了同行评审的论文。
结果
检索到1308篇文章，其中37篇相关文章被选入综述。数据提取包括背景、参与者、研究设计、数据收集、分析和主题。确定了13个定性子主题，并归类于唐纳贝迪安模型的三个要素之下。
结论
在实施一项计划之前，考虑其执行前提条件至关重要。修订和反复试验的方法可能成本高昂且耗时，可能会阻碍计划的有效性，并使组织偏离其主要目标，导致失败。
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