目标:在整个劳动力中表现出强大联系的公共卫生系统经历了大量的人口健康改善。这对于提高母亲和婴儿等弱势群体的质量和实现价值尤为重要。这项研究的目的是证明阿拉巴马州新成立的围产期质量协作组(阿拉巴马州围产期质量协作组[ALPQC])如何使用基于证据的流程来达成共识,以确定人口质量改善(QI)计划。
方法:这项多阶段的定量和定性研究使利益相关者(n=44)参加了ALPQC年度会议。从活跃的围产期质量协作网站上确定并分类了以孕产妇和新生儿为重点的QI项目主题。德尔菲法和名义组技术(NGT)被用来使用选定的标准(影响,热情,对齐,和可行性)和利益相关者的投入。
结果:使用德尔菲法,27个确定的项目主题中有11个符合利益相关者考虑的纳入标准。使用NGT,产妇项目获得的总票数(n=535)高于新生儿项目(n=313)。新生儿项目的标准偏差(SD:可行性=10.9,对齐=17.9,积极性=19.2,影响=22.1)高于产妇项目(SD:对齐=5.9,积极性=7.3,影响=7.9,可行性=11.1)。妊娠高血压(n=117)和新生儿禁欲综合征(n=177)获得了最多的投票和影响(分别为n=35和n=54),但可行性支持可变。
结论:一起,这些技术在多学科利益相关方之间达成了有效共识,符合州公共卫生优先事项.此模型可用于其他设置,以整合利益相关者的输入并增强共同人口QI议程的价值。
Public health systems exhibiting strong connections across the workforce experience substantial population health improvements. This is especially important for improving quality and achieving value among vulnerable populations such as mothers and infants. The purpose of this research was to demonstrate how
Alabama\'s newly formed perinatal quality collaborative (
Alabama Perinatal Quality Collaborative [ALPQC]) used evidenced-based processes to achieve
consensus in identifying population quality improvement (QI) initiatives.
This multiphase quantitative and qualitative study engaged stakeholders (n = 44) at the ALPQC annual meeting. Maternal and neonatal focused QI project topics were identified and catalogued from active perinatal quality collaborative websites. The Delphi method and the nominal group technique (NGT) were used to prioritize topics using selected criteria ( impact , enthusiasm , alignment , and feasibility ) and stakeholder input.
Using the Delphi method, 11 of 27 identified project topics met inclusion criteria for stakeholder consideration. Employing the NGT, maternal projects received more total votes (n = 535) than neonatal projects (n = 313). Standard deviations were higher for neonatal projects (SD: feasibility = 10.9, alignment = 17.9, enthusiasm = 19.2, and impact = 22.1) than for maternal projects (SD: alignment = 5.9, enthusiasm = 7.3, impact = 7.9, and feasibility = 11.1). Hypertension in pregnancy (n = 117) and neonatal abstinence syndrome (n = 177) achieved the most votes total and for impact (n = 35 and n = 54, respectively) but variable support for feasibility .
Together, these techniques achieved valid
consensus across multidisciplinary stakeholders in alignment with state public health priorities. This model can be used in other settings to integrate stakeholder input and enhance the value of a common population QI agenda.