Avtorja sta proučevala neučinkovitost, mogoče izboljšave, izzive in vplive trajnostnih prometnih rešitev v Prištini, da bi na podlagi izsledkov oblikovala strategije za razvoj tovrstnih rešitev v ...majhnih hitro urbanizirajočih se mestih in prispevala k znanju na področju trajnostnega prometa v majhnih državah v razvoju. Pri raziskavi trajnostnega prometa v Prištini sta uporabila kvalitativni pristop in polstrukturirane intervjuje z dvanajstimi anketiranci, njihove odgovore pa sta proučila s tematsko in prečno analizo. Izsledki raziskave so pokazali, da je prištinski prometni sistem zelo neučinkovit, kar je posledica zastarele infrastrukture in različnih pogledov deležnikov. S tematsko in prečno analizo sta avtorja opozorila na večplastne izzive pri uvedbi trajnostnega prometa v mestu. Njuna raziskava dopolnjuje literaturo s tega področja, saj daje vpogled v prometni sistem v Prištini in ponuja uporabne napotke za prometne načrtovalce. Z vidika družbe pa izsledki poudarjajo nujnost celostnega pristopa, ki bi združeval infrastrukturne izboljšave in spremembe v navadah ljudi ter tako omogočal vzpostavitev trajnostnega urbanega okolja v Prištini.
There is a limited body of research in the field of healthcare improvement science (HIS). Quality improvement and 'change making' should become an intrinsic part of everyone's job, every day in all ...parts of the healthcare system. The lack of theoretical grounding may partly explain the minimal transfer of health research into health policy.
This article seeks to present the development of the definition for healthcare improvement science. A consensus method approach was adopted with a two-stage Delphi process, expert panel and consensus group techniques. A total of 18 participants were involved in the expert panel and consensus group, and 153 answers were analysed as a part of the Delphi survey. Participants were researchers, educators and healthcare professionals from Scotland, Slovenia, Spain, Italy, England, Poland, and Romania.
A high level of consensus was achieved for the broad definition in the 2nd Delphi iteration (86%). The final definition was agreed on by the consensus group: 'Healthcare improvement science is the generation of knowledge to cultivate change and deliver person-centred care that is safe, effective, efficient, equitable and timely. It improves patient outcomes, health system performance and population health.'
The process of developing a consensus definition revealed different understandings of healthcare improvement science between the participants. Having a shared consensus definition of healthcare improvement science is an important step forward, bringing about a common understanding in order to advance the professional education and practice of healthcare improvement science.
PDF
