Đánh giá hiệu quả can thiệp nâng cao mức chất lượng Phòng xét nghiệm của các cơ sở y tế công lập trên địa bàn tỉnh Hải Dương năm 2024=Evaluation of the effectiveness of interventions to improve the quality level of public health facility laboratories in Hai Duong Province in 2024

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Văn Tuyến Cao, Thị Diệu Hằng Đinh, Thị Xuyến Đinh, Quỳnh Diệp Ngô, Thị Thảo Ngô, Hùng Cường Nguyễn, Thị Hải Hà Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.197-202

Bộ sưu tập: Metadata

ID: 243761

Thêm vào giỏ

Đánh giá hiệu quả can thiệp nâng cao mức chất lượng PXN (PXN) y học của của các PXN thuộc 24 cơ sở y tế (CSYT) công lập tại Hải Dương theo quyết định 2429/QĐ-BYT. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang kết hợp can thiệp trên 27 PXN thuộc 12 Trung tâm Y tế (TTYT) tuyến huyện và 12 bệnh viện tuyến tỉnh (BVTT) trên địa bàn Hải Dương về hệ thống quản lý chất lượng xét nghiệm theo Bộ tiêu chí đánh giá mức chất lượng PXN y học (Quyết định 2429/QĐ- BYT/2017). Các dữ liệu được phân tích trên phần mềm SPSS 26. Kết quả: Tỷ lệ % số điểm đạt trung bình sau can thiệp cao hơn ở nhóm BVTT với 71,75% và chỉ số hiệu quả (CSHQ) đạt 55,54%. Đối với các tiêu chí (*), (***) CSHQ ở nhóm TTYT tăng cao hơn BVTT với 146,55% và 123,10%. Kết quả xếp mức chất lượng trước can thiệp có 96,3% chưa xếp mức, 3,7% xếp mức 2. Sau can thiệp có 77,78% PXN được xếp đạt mức 2, 7,41% PXN được xếp đạt mức 3 và 14,81% chưa xếp mức. Kết luận: Hiệu quả nâng cao mức chất lượng của các PXN thuộc các CSYT công lập trên địa bàn tỉnh Hải Dương đã được cải thiện rõ rệt nhưng vẫn còn một số khó khăn nhất định. Kết quả này cho thấy bước đầu tính hiệu quả của các giải pháp can thiệp mà nhóm nghiên cứu tổ chức triển khai. Tuy nhiên, vẫn cần tiếp tục thực hiện giám sát và triển khai thêm các giải pháp chuyên sâu để hỗ trợ nâng mức chất lượng cho các PXN trên địa bàn tỉnh Hải Dương.To evaluate the effectiveness of interventions to improve the quality level of medical laboratories in 24 public health facilities in Hai Duong, according to Decision 2429/QĐ- BYT. Subjects and methods: A cross-sectional descriptive study combined with interventions was conducted in 27 laboratories in 12 district health centers and 12 provincial hospitals in Hai Duong. The evaluation was based on the Quality Management System according to the Laboratory Quality Evaluation Criteria (Decision 2429/QĐ- BYT). The data were analyzed using SPSS 26 software. Results: The average percentage of points achieved after the intervention was higher in the provincial hospitals group, with 71.75%, and the Effectiveness Index (EI) reached 55.54%. The EI for criteria (*) and (***) increased more in the district health centers group, with 146.55% and 123.10%, respectively. The results of the quality level ranking before intervention were 96.3% unranked and 3.7% ranked at level 2. After intervention, 77.78% of laboratories were ranked at level 2, 7.41% were ranked at level 3, and 14.81% were unranked. Conclusion: The quality improvement of laboratories in public health facilities in Hai Duong Province has shown significant progress, although some challenges remain. These results demonstrate the initial effectiveness of the interventions implemented by the research group. However, continuous monitoring and further specialized interventions are needed to support and elevate the quality level of laboratories in Hai Duong.

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