The impact of redesigning care processes on quality of care: a systematic review.
BMC Health Serv Res
; 16: 19, 2016 Jan 19.
Article
em En
| MEDLINE
| ID: mdl-26782132
ABSTRACT
BACKGROUND:
This literature review evaluates the current state of knowledge about the impact of process redesign on the quality of healthcare.METHODS:
Pubmed, CINAHL, Web of Science and Business Premier Source were searched for relevant studies published in the last ten years [2004-2014]. To be included, studies had to be original research, published in English with a before-and-after study design, and be focused on changes in healthcare processes and quality of care. Studies that met the inclusion criteria were independently assessed for excellence in reporting by three reviewers using the SQUIRE checklist. Data was extracted using a framework developed for this review.RESULTS:
Reporting adequacy varied across the studies. Process redesign interventions were diverse, and none of the studies described their effects on all dimensions of quality defined by the Institute of Medicine.CONCLUSIONS:
The results of this systematic literature review suggests that process redesign interventions have positive effects on certain aspects of quality. However, the full impact cannot be determined on the basis of the literature. A wide range of outcome measures were used, and research methods were limited. This review demonstrates the need for further investigation of the impact of redesign interventions on the quality of healthcare.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Qualidade da Assistência à Saúde
/
Atenção à Saúde
Tipo de estudo:
Prognostic_studies
/
Sysrev_observational_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
BMC Health Serv Res
Assunto da revista:
PESQUISA EM SERVICOS DE SAUDE
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Holanda