The effects of social work intervention on Quality Assurance and quality improvement of housestaff medical documentation.
Item
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Title
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The effects of social work intervention on Quality Assurance and quality improvement of housestaff medical documentation.
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Identifier
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AAI9917652
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identifier
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9917652
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Creator
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Gooding, Anne Danforth.
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Contributor
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Adviser: Michael Smith
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Date
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1999
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Language
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English
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Publisher
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City University of New York.
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Subject
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Social Work | Health Sciences, Education | Health Sciences, Health Care Management
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Abstract
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This social work led study evaluated a two-part, four hour interactive and participatory seminar on Quality Assurance (QA) for primary care housestaff. The training program was evaluated in terms of its ability to increase their awareness of QA guidelines, increase positive attitudes toward the use of QA terminology and the use of QA guidelines. Two samples were used. The first sample consisted of 24 attending physicians who responded to an open-ended six item questionnaire about what they knew about QA and their attitudes toward its implementation. Findings from the qualitative study indicated that the attending physicians were aware of QA guidelines. Most defined them in terms of monitoring procedures in order to maintain standards of health care. Most thought that the purpose of QA was to maintain standards, although large pluralities also thought that QA could be used to improve resident education or the quality of patient care. The second sample contained 75 members of the housestaff who participated in the training in four cohorts. Participants were assessed pre- and post-participation on their awareness of and attitude towards QA guidelines. Hypothesis 1, which posited that the program would increase housestaff's awareness of hospital guidelines, was partially supported by the data. Hypothesis 2, which posited that the program would improve housestaff's attitudes toward the use of QA terminology, was supported by the data. Findings also indicated that non-U.S. students had more positive attitudes than U.S. students at pretest and posttest, and that U.S. males had the least positive attitudes toward QA terminology when compared to other students. Hypothesis 3, which posited that the program would improve housestaff's attitudes toward the use of QA guidelines, was partially supported for the use of QA for maintenance of standards and general attitude toward QA guidelines. It was not supported for use of QA for quality of care nor for encouraging diversity of practice. Foreign educated physicians tended have more positive attitudes toward QA guidelines than U.S. educated physicians.
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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D.S.W.
