ORGANIZATIONAL DETERMINATS OF HIV CARE IMPROVEMENT

改善艾滋病毒护理的组织决定因素

• 批准号: 6076598
• 负责人: PAUL D CLEARY
• 金额: $ 84.69万
• 依托单位: HARVARD MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-30 至 2002-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6076598
• 关键词: AIDS; attitude; belief; clinical research; health care personnel education; health care personnel performance; health care policy; health care quality; health care service evaluation; health science research analysis /evaluation; health services research tag; human subject

The Health Resources and Services Administration (HRSA) will require new Title III recipients of Ryan White funds to participate in a continuous quality improvement program. The goal of out project is to assess the quality of HIV care provided by participating clinics, changes in such care subsequent to quality training, and the organizational characteristics and policies related to such changes. Specifically, we propose to: 1. Develop reliable, valid, and efficient methods of characterizing physician and nurse characteristics related to the provision of high quality HIV care. This assessment will include collecting information about attitudes and beliefs, formal training and experience, and knowledge. 2. Develop reliable, valid, and efficient methods of characterizing organizational factors that facilitate or inhibit the adoption of strategies for providing high quality care and that predict successful organizational change. 3. Assess the association between clinic and provider characteristics and quality of HIV care prior to an intensive collaborative quality improvement project involving multiple HIV care sites using medical record based measures of quality. 4. Assess the degree to which clinical sites that participate in a quality improvement program achieve greater improvement in core measures of quality of care than clinics that do not participate. The goal of the intervention project will be to focus and accelerate improvement of significant care processes, guided by the best available science. The general approach will be that pioneered by the Institute for Healthcare Improvement under the aegis of its 'breakthrough series' projects. 5. Conduct descriptive analyses of clinician and clinic characteristics that predict which clinics improve the most following the quality improvement intervention. 6. Conduct descriptive analyses of clinician and clinic factors and improvement processes that are associated with sustained change or late improvement.

卫生资源和服务管理局（HRSA）将要求Ryan White资金的新标题III接受者参加持续的质量改进计划。 OUT项目的目的是评估参与诊所提供的艾滋病毒护理质量，高质量培训后这种护理的变化以及与此类变化有关的组织特征和政策。 具体来说，我们建议：1。开发可靠，有效，有效的方法来表征与提供高质量艾滋病毒护理有关的医师和护士特征。 该评估将包括收集有关态度和信念，正式培训和经验以及知识的信息。 2.开发可靠，有效，有效的方法来表征组织因素，以促进或抑制采用提供高质量护理并预测成功组织变革的策略。 3.在进行基于病历的质量测量的密集协作质量改进项目之前，评估诊所和提供者特征和艾滋病毒护理质量之间的关联，涉及多个艾滋病毒护理网站。 4.评估参与质量改进计划的临床站点的程度比不参与的诊所的核心护理质量测量更大。干预项目的目的是在最佳科学的指导下，集中精力并加快重大护理过程的改进。 一般方法是，根据其“突破性系列”项目的宙斯盾，医疗保健研究所的开创性。 5。进行临床医生和诊所特征的描述性分析，这些分析预测哪些临床改善了质量改善干预措施。 6.对临床医生和临床因素以及与持续变化或延迟改进相关的临床医生和临床因素的描述性分析。