蒙特利尔机构间复杂肌肉骨骼护理路径:蒙特利尔复杂肌肉骨骼护理路径:持续质量改进计划中研究团队参与合作的时间轴。

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES
Health Services Insights Pub Date : 2024-03-19 eCollection Date: 2024-01-01 DOI:10.1177/11786329241237709
Marie Beauséjour, Martin Sasseville, Aurélie Vigné, Sophie Riendeau, Stephanie Gould, Kelly Thorstad
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引用次数: 0

摘要

患有复杂肌肉骨骼疾病的儿童和青少年在接受医疗服务时,可能需要在蒙特利尔地区(加拿大魁北克省)的 4 家儿科专科医院之间至少转院一次。这可能会导致在系统导航方面遇到困难。为了实现机构间医疗路径的无缝衔接并改善肌肉骨骼医疗服务的整合,包括研究团队在内的主要利益相关者共同采取了一种合作方法。本文旨在描述该合作方法的关键里程碑和活动时间表,更具体地说,是描述研究人员参与支持基于综合方法的持续质量改进项目的背景、过程和成果。描述性时间表是通过对与项目相关的灰色文献(n = 80 篇文献)进行定性文献分析后构建的,并与主要利益相关者进行了验证和解释。结果显示了合作项目是如何建立和运作的,以及开发和实施了哪些解决方案。此外,还介绍了研究团队在开展研究活动的同时如何参与综合方法的策略。结论提出了通过将研究、服务评估和临床审计整合到质量改进项目中来创建变革流程的实践建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Inter-Establishment Complex Musculoskeletal Care Pathways in Montreal: Timeline of a Collaboration Involving a Research Team Within a Continuous Quality Improvement Initiative.

Children and adolescents with complex musculoskeletal conditions may receive health care that requires at least 1 transfer between 4 specialized pediatric establishments in the Montreal region (Québec, Canada). This may result in challenges in navigating the system. A collaborative approach, aiming to make the inter-establishment care pathways seamless and to improve the integration of musculoskeletal health services, brought together key stakeholders including a research team. The aim of this paper is to describe the timeline of the collaborative approach's key milestones and activities and, more specifically, to describe the context, process, and outputs of the involvement of researchers in support of a continuous quality improvement project based on an integrated approach. The descriptive timeline was constructed from a qualitative document analysis of the project-related gray literature (n = 80 documents) and was validated and interpreted with key stakeholders. The results showed how the collaborative project was set up and operated, as well as what solutions were developed and implemented. The strategies on how the research team was involved in the integrated approach in addition to its research activities were also described. Conclusions suggest practice recommendations for creating change processes by integrating research, service evaluation and clinical audit into quality improvement projects.

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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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