How do Dutch residential care homes and home care organizations improve their quality? A description of quality improvement activities and the influence of organization characteristics on quality improvement

S. W. D. Meer, Marloes Cornelissen, R. Kool, N. Klazinga, R. Huijsman
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引用次数: 2

Abstract

AbstractObjectiveThis study describes the quality improvement (QI) activities, triggers, and strategies between 2007 and 2009 of Dutch residential care homes and home care organizations. It investigates how geographical location (North, East, South, and West), type of services (residential homes, nursing homes, and home care), capacity (expressed in number of residents), and the size of the corporate structure influence the process of QI.MethodsA descriptive survey, conducted in 193 residential care homes and home care organizations. A web-based questionnaire was developed based on a literature search and an expert panel. The questionnaire was pilot tested.ResultsOrganizations reported on average 15 (s.d. 5.9) QI activities. Significant differences in the nature of QI activities and the triggers for implementation were found between the types of services, the geographical location, capacity, and the size of the corporate structure.DiscussionMost organizations implemented generic QI activities involving ma...
荷兰的养老院和家庭护理机构如何提高质量?描述质量改进活动和组织特征对质量改进的影响
摘要目的本研究描述2007年至2009年荷兰住宅护理院和家庭护理机构的质量改善(QI)活动、触发因素和策略。它调查了地理位置(北、东、南、西)、服务类型(住宅、养老院和家庭护理)、能力(以居民数量表示)和公司结构的规模如何影响QI的过程。方法采用描述性调查方法,对193家养老院和家庭护理机构进行调查。在文献检索和专家小组的基础上,编制了一份基于网络的问卷。问卷进行了试点测试。结果各组织平均报告了15项(每天5.9项)质量保证活动。在服务类型、地理位置、容量和公司结构的大小之间,QI活动的性质和实现的触发器存在显著差异。大多数组织实施了通用的质量保证活动,包括…
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