دورية أكاديمية
Quality Improvement with Outcome Data in Integrated Obstetric Care Networks: Evaluating Collaboration and Learning Across Organizational Boundaries with an Action Research Approach
| العنوان: | Quality Improvement with Outcome Data in Integrated Obstetric Care Networks: Evaluating Collaboration and Learning Across Organizational Boundaries with an Action Research Approach |
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| المؤلفون: | Depla, Anne Louise, Kersten, Anna W., Lamain-de Ruiter, Marije, Jambroes, Marielle, Franx, Arie, Evers, Inge M., Pluut, Bettine, Bekker, Mireille N. |
| المصدر: | International Journal of Integrated Care; Vol. 23: April-June 2023; 21 ; 1568-4156 |
| بيانات النشر: | Ubiquity Press |
| سنة النشر: | 2023 |
| المجموعة: | International Journal of Integrated Care (IJIC) |
| مصطلحات موضوعية: | interprofessional learning, collaboration, integrated care, perinatal care, patient-reported outcome measures, value-based healthcare |
| الوصف: | Introduction: Patient-reported outcome and experience measures (PROM and PREM) are used to guide individual care and quality improvement (QI). QI with patient-reported data is preferably organized around patients, which is challenging across organisations. We aimed to investigate network-broad learning for QI with outcome data. Methods: In three obstetric care networks using individual-level PROM/PREM, a learning strategy for cyclic QI based on aggregated outcome data was developed, implemented and evaluated. The strategy included clinical, patient-reported, and professional-reported data; together translated into cases for interprofessional discussion. This study’s data generation (including focus groups, surveys, observations) and analysis were guided by a theoretical model for network collaboration. Results: The learning sessions identified opportunities and actions to improve quality and continuity of perinatal care. Professionals valued the data (especially patient-reported) combined with in-dept interprofessional discussion. Main challenges were professionals’ time constraints, data infrastructure, and embedding improvement actions. Network-readiness for QI depended on trustful collaboration through connectivity and consensual leadership. Joint QI required information exchange and support including time and resources. Conclusions: Current fragmented healthcare organization poses barriers for network-broad QI with outcome data, but also offers opportunities for learning strategies. Furthermore, joint learning could improve collaboration to catalyse the journey towards integrated, value-based care. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf; text/xml |
| اللغة: | English |
| العلاقة: | https://account.ijic.org/index.php/up-j-ijic/article/view/7035/8542Test; https://account.ijic.org/index.php/up-j-ijic/article/view/7035/8544Test; https://account.ijic.org/index.php/up-j-ijic/article/view/7035Test |
| DOI: | 10.5334/ijic.7035 |
| الإتاحة: | https://doi.org/10.5334/ijic.7035Test https://account.ijic.org/index.php/up-j-ijic/article/view/7035Test |
| حقوق: | Copyright (c) 2023 The Author(s) ; https://creativecommons.org/licenses/by/4.0Test |
| رقم الانضمام: | edsbas.DDD8096A |
| قاعدة البيانات: | BASE |
| DOI: | 10.5334/ijic.7035 |
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