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提高儿童医疗保健质量:落实《澳大利亚卫生与福利研究议程》会议的成果

Improving the quality of healthcare for children: implementing the results of the AHSR research agenda conference.

作者信息

Halfon N, Schuster M, Valentine W, McGlynn E

机构信息

UCLA Center for Healthier Children, Families, and Communities, School of Public Health 90095-1772, USA.

出版信息

Health Serv Res. 1998 Oct;33(4 Pt 2):955-76.

Abstract

OBJECTIVE

To describe the rationale, development, content, and results of the AHSR-sponsored conference on developing a research agenda focused on improving the quality of care for children.

DATA SOURCES AND METHODS

Planning documents, background papers, and conference proceedings.

PRINCIPAL FINDINGS

The conference developed the research agenda focused on (1) monitoring the health of children; (2) evaluating the efficacy and effectiveness of health services for children; (3) assessing the quality of healthcare provided to children; (4) improving the quality of healthcare within health systems; (5) assessing the performance of community systems for children; (6) exploring the impact of different financial incentives on the provision of pediatric healthcare; and (7) developing and disseminating clinical practice guidelines and other information to physicians, families, and consumers. Specific issues and research questions in each area are also presented. Strategies for implementing the research agenda are presented and include: (1) expanding the child health services research workforce; (2) developing child healthcare quality improvement research centers; (3) conducting research in specific high-priority areas; (4) focusing research on improving the health of vulnerable populations; (5) improving child health data and collection systems at the national level; (6) developing better community health monitoring for children; (7) building and supporting research networks and a consortium of research users; and (8) developing a coordinated interagency federal effort to advance this agenda and to provide accountability for its completion.

CONCLUSION

The proposed research agenda should be a national priority so that all Americans can be assured that children are receiving the best quality of care that the United States can provide.

摘要

目的

描述由儿童健康服务研究(AHSR)赞助的、以制定关注改善儿童医疗服务质量的研究议程为主题的会议的基本原理、发展过程、内容及成果。

数据来源与方法

规划文件、背景文件及会议记录。

主要发现

该会议制定了聚焦于以下方面的研究议程:(1)监测儿童健康状况;(2)评估儿童健康服务的疗效与效果;(3)评估提供给儿童的医疗保健质量;(4)提高卫生系统内的医疗保健质量;(5)评估儿童社区系统的绩效;(6)探究不同经济激励措施对儿科医疗服务提供的影响;(7)制定并向医生、家庭及消费者传播临床实践指南及其他信息。每个领域的具体问题及研究问题也已列出。提出了实施该研究议程的策略,包括:(1)扩充儿童健康服务研究工作队伍;(2)建立儿童医疗保健质量改进研究中心;(3)在特定高优先级领域开展研究;(4)将研究重点放在改善弱势群体的健康状况上;(5)改善国家层面的儿童健康数据及收集系统;(6)加强针对儿童的社区健康监测;(7)建立并支持研究网络及研究用户联盟;(8)开展跨部门联邦协同努力以推进该议程并为其完成负责。

结论

提议的研究议程应成为国家优先事项,以便所有美国人都能确信儿童正在接受美国所能提供的最高质量的医疗服务。

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本文引用的文献

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The health of children.儿童的健康。
Health Serv Res. 1998 Oct;33(4 Pt 2):1001-39.
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Quality. An elusive goal with a clear path.质量。一个有着清晰路径却难以实现的目标。
Arch Pediatr Adolesc Med. 1997 Nov;151(11):1080-1. doi: 10.1001/archpedi.1997.02170480010001.

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