快速评估NHS恢复支持计划（RSP）在英格兰：实施密集的国家改进支持挑战医疗保健提供者和系统

IF 3.6 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2025-03-08 DOI:10.1016/j.healthpol.2025.105300

Maartje Kletter, Stephanie Gillibrand, Elaine Harkness, Jo Dumville, Paul Wilson

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引用次数: 0

摘要

恢复支持计划（RSP）于2021年启动，为英国经历重大财务、质量或安全缺陷的NHS医疗保健提供者和系统提供强制性强化改进支持。目标是防止进一步恶化，实现改善，并实现持续稳定。我们进行了一项快速的多方法研究，以评估早期实施的可再生能源安全措施，以了解初步影响，并确定可以改善其实施的进一步发展。我们发现，虽然RSP通常被认为比它所取代的特别措施制度更具支持性，惩罚性更少，但它的实施在某些领域可以得到加强。跨区域实施方案的方式各不相同，可以对若干核心过程进行标准化，以便对系统能力和支持变革的能力发展进行更有组织的评估。跨系统集体领导和外部促进的存在可能是嵌入改进和实现NHS组织持续稳定所必需的核心功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Rapid evaluation of the NHS Recovery Support Programme (RSP) in England: Implementing intensive national improvement support for challenged healthcare providers and systems

Launched in 2021, the Recovery Support Programme (RSP) provides mandated intensive improvement support to NHS healthcare providers and systems in England experiencing significant financial, quality or safety failings. The aim is to prevent further deterioration, embed improvement and to enable sustained stabilisation. We conducted a rapid multi-method study to evaluate the early implementation of the RSP to understand initial impact and identify further developments which could improve its delivery. We found that whilst the RSP is generally perceived as more supportive and less punitive than the special measures regime it replaced, there are areas where its delivery could be enhanced. There is variation in how the programme is delivered across regions and several core processes could be standardised to enable more structured assessment of system capability and development of capacity to support change. The presence of cross system collective leadership and external facilitation may be the core-enabling features necessary to embed improvement and enable sustained stabilisation in NHS organisations.

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来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.