Sustaining Quality Improvement in Community Health Centers Perceptions of Leaders and Staff

被引：35

作者：

Chin, Marshall H.

Kirchhoff, Anne C.

Schlotthauer, Amy E.

Graber, Jessica E.

Brown, Sydney E. S.

Rimington, Ann

Drum, Melinda L.

Schaefer, Cynthia T.

Heuer, Loretta J.

Huang, Elbert S.

Shook, Morgan E.

Tang, Hui

Casalino, Lawrence P.

机构：

[1] Section of General Internal Medicine, Department of Medicine, University of Chicago, IL

[2] Department of Health Studies, University of Chicago, IL

[3] Diabetes Research and Training Center, University of Chicago, IL

[4] National Opinion Research Center, Chicago, IL

[5] University of Evansville, Evansville, IN

[6] University of North Dakota College of Nursing, Grand Forks

[7] Migrant Health Services Inc., Moorhead, MN

[8] University of Washington, School of Public Health and Community Medicine, Seattle

[9] Medical College of Wisconsin, Milwaukee

[10] Berk and Associates, Seattle, WA

[11] Section of General Internal Medicine, University of Chicago, MC 2007, Chicago, IL 60637

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2008年 / 31卷 / 04期

关键词：

community health center; disparities; quality improvement; quality of care; vulnerable populations;

D O I：

10.1097/01.JAC.0000336551.67922.2f

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The Health Disparities Collaboratives are the largest national quality improvement (QI) initiatives in community health centers. This article identifies the incentives and assistance personnel believe are necessary to sustain QI. In 2004, 1006 survey respondents (response rate 67%) at 165 centers cited lack of resources, time, and staff burnout as common barriers. Release time was the most desired personal incentive. The highest funding priorities were direct patient care services (44% ranked no. 1), data entry (34%), and staff time for QI (26%). Participants also needed help with patient self-management (73%), information systems (77%), and getting providers to follow guidelines (64%).

引用

页码：319 / 329

页数：11

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