Does Quality Improvement Work? Evaluation of the Organ Donation Breakthrough Collaborative

Autor:	Virginia McBride, Monica Lin, David Howard, Laura A. Siminoff
Rok vydání:	2007
Předmět:	Program evaluation Time Factors Tissue and Organ Procurement Quality management Quality Assurance Health Care Hospitals Special Nursing Homicide Humans Medicine Organ donation Cooperative Behavior Program Development Hospitals Teaching Quality Indicators Health Care Quality and Outcomes Total quality management business.industry Health Policy Hospitals United States Benchmarking Organizational Affiliation Work (electrical) Case-Control Studies Scale (social sciences) Donation business Program Evaluation Total Quality Management
Zdroj:	Health Services Research. 42:2160-2173
ISSN:	1475-6773 0017-9124
DOI:	10.1111/j.1475-6773.2007.00732.x
Popis:	Every year there are thousands of decedents who could donate organs but do not (Sheehy et al. 2003). Many families of potential donors refuse consent, others are never asked in the first place. According to a recent estimate, the number of life years lost as a result of the failure to transplant all suitable organs is comparable with the years lost as a result of suicide, homicide, or perinatal conditions (Schnitzler et al. 2005). Frustration with the growing imbalance between organ demand and supply has led policy makers to contemplate new strategies for promoting organ donation, including financial incentives for donor families and use of a “presumed consent” regime (Howard, in press). A recent Institute of Medicine report recommended against these policies (Committee on Increasing Rates of Organ Donation 2006).1 The report cited the Organ Donation Breakthrough Collaborative, a nationwide quality improvement initiative, as evidence that it is possible to increase donation rates within the confines of the current system. While initial findings from the Breakthrough Collaborative are promising, neither the Breakthrough Collaborative nor other large scale quality improvement programs to promote donation (Burris and Jacobs 1996; Plessen et al. 1997; Bozzi et al. 2004; Tokalak et al. 2005) have been rigorously evaluated. This study fills the gap on the effectiveness of quality improvement in organ procurement by estimating the impact of the Organ Donation Breakthrough Collaborative on donation rates. Our evaluation is limited to the first phase of the Collaborative, which took place from September 2003 to August 2004 and involved 95 hospitals in 43 organ procurement organizations (OPOs).
Databáze:	OpenAIRE
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