进步、障碍与合作:一线医生与以业务为导向的领导者之间应对挑战和设计解决方案的 ABC。

IF 1.7 Q3 HEALTH CARE SCIENCES & SERVICES
Shayann Ramedani, Jeffery Miller, Jed D Gonzalo
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引用次数: 0

摘要

背景:多年来,美国医疗保健的复杂性不断增加,要求临床医生和学习者除了了解临床科学外,还必须了解医疗服务系统。因此,对教师和学员进行医疗保健功能方面的教育已成为一项重要工作。随着医院向医疗系统的扩展,在解决问题时需要卓越运营等部门更复杂的专业知识的帮助。作为一名具有卓越运营背景的医学生、医学教育领导者和临床管理领导者,目前都在推动这一转变,我们希望反思我们在临床实施质量改进项目时遇到的障碍,并教育学员卓越运营原则对他们临床教育的影响:本文中提出的观点是作者们就在卫生系统科学教育中采用卓越运营原则所面临的主要挑战进行多次合作讨论的结果。为了通过目前的研究为这一思考增加背景,他们补充了有关该主题的文献综述,其中包括 2013 年至 2021 年间在美国发表的有关医疗系统科学和医疗保健领导力参与的 86 项研究。本文将对文献综述和讨论之间的交叉主题进行扩展:通过这一过程,我们发现了四个挑战:(1)思维方式的差异,我们称之为'心智模式差异';(2)流程改进项目的战略性质以及如何与医生的优先事项相冲突,或者说'利益相关者参与的棋局';(3)语言和精确的方法,或者说'语言的一致性和对行政应变能力的需求';(4)教授这些概念或缩小学习差距的问题:在日益复杂的医疗环境中,医生和受训人员需要弥合行政和临床工作流程思维模式之间的差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Advancement, barriers and collaboration: the ABC's of addressing challenges and designing solutions between front-line physicians and business-oriented leaders.

Background: The complexity of US healthcare has been increasing for many years, requiring clinicians and learners to understand care delivery systems in addition to clinical sciences. Thus, there has been a major push to educate faculty and trainees on healthcare functionality. This comes as hospitals expand into health systems requiring the help of more sophisticated expertise of departments such as operations excellence when problem-solving. As a medical student with a background in operations excellence, medical education leader and clinical administration leader all currently facilitating this transition, we wanted to reflect on the barriers we have experienced in clinical implementation of quality improvement projects and educating learners on the impact of operations excellence principles in their clinical education.

Methods: The ideas presented in this article were the result of a several collaborative discussion between the authors, on the key challenges to adopting operations excellence principles into health system science education. In an effort to add context to this reflection through the current body of research present, they supplemented a literature review on the topic which included 86 studies published between 2013 and 2021 regarding health systems science and healthcare leadership engagement in the USA. The themes that intersected between the literature review and the discussions were then expanded on in this paper.

Results: Through this process, we identified four challenges: (1) the difference in thinking styles, which we term, 'mental model differences'; (2) the strategic nature of process improvement projects and how that collides with physician priorities, or 'the chess game of stakeholder engagement'; (3) the language and precise methodology, or 'consistency of language and need for administrative resilience' and (4) the issue of teaching these concepts or bridging the learning gap.'

Conclusion: In an increasingly complex healthcare landscape, physicians and trainee's need to bridge gaps between the mental models of administrative and clinical workflow.

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来源期刊
BMJ Leader
BMJ Leader Nursing-Leadership and Management
CiteScore
3.00
自引率
7.40%
发文量
57
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