患者の退院時の書面によるコミュニケーションの質の向上:定性分析の三角化と介入の共同設計

Ola Markiewicz¹, Fabiana Lorencatto², Danielle D'Lima²

¹Department of Surgery and Cancer, Imperial College London, London, UK.

Lancet (London, England)

|November 24, 2023

まとめ

病院から患者への移送は脆弱な患者を危険にさらしています行動科学では退院書類の作成と移行期間中の患者の安全性を改善する方法を特定しました

科学分野:

医療サービス研究
行動科学
患者の安全

背景:

病院から初等医療への移転が不十分であるため,特に高齢者や弱い人にとって,安全な退院が危険です.
退院プロセスを理解し改善するために行動科学の原則を活用することは患者の安全にとって極めて重要です

研究の目的:

病院から初等医療への書面による退院の質への影響を調査する.
行動変化技術 (BCT) を特定し,適用し,移送文書と患者の安全性を改善する.

主な方法:

患者退院に関与した病院職員との民族学的観察と半構造面接を行いました.
理論的領域枠組み (TDF) に理論的にマッピングされ,関連するBCTが特定されました.
医療従事者,患者,介護者が参加して介入策を策定します

主要な成果:

知識,スキル,役割,環境,社会的要因を含む5つのTDF領域における移転品質に対する11の主要な影響を特定しました.
行動リハーサル,指導,社会的支援などの14のBCTを選択し,特定された影響に対処しました.
協力的なワークショップを通じて多面的な教育介入を開発しました.

結論:

病院からプライマリーケアへの移転文書の質を向上させるには,さまざまな影響要因に対処する多面的なアプローチが必要です.
設計された介入は,手渡し品質と患者の安全性への影響を評価するために,初等医療関係者との臨床試験を正当化します.

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