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患者を置き去りにして前進する?患者中心の統合ケアの質を評価するための多層的評価フレームワーク
Sonja Cassidy1,2, Ove Lintvedt3,4, Francis Odeh5,6
1Department of Strategic ICT, Western Norway Regional Health (Helse Vest IKT), Bergen, Norway. sonja.cassidy@helse-vest-ikt.no.
まとめ
現在のケア評価では、患者の優先事項が見過ごされがちです。この研究では、評価を患者の目標と一致させるための患者報告統合指標(PRIMs)を提案し、より良い統合ケアを確保し、患者が置き去りにされるリスクを軽減します。
科学分野:
- ヘルスケアの質評価。
- 患者中心のケア研究。
- 統合ケアフレームワーク。
背景:
- 既存のケア評価フレームワークは、患者の視点を臨床的および組織的成果よりも優先することがよくあります。
- 特に複雑なニーズを持つ人々にとって、体系的な評価の実践と個々の患者の幸福との間のギャップを埋める必要性が認識されています。
主な方法:
- 主に質的なデザイン。
- 患者中心の統合ケア評価研究の文献レビュー。
- 健康情報システム全体での患者視点の文書化を調査する縦断的ケーススタディ。
結論:
- 統合ケアの質評価は、患者が定義した結果と一致していません。
- 多次元の患者価値アウトカムを捉えるための患者報告統合指標(PRIMs)を提案しました。
- ケア評価を患者の優先事項と一致させるために、PRIMsを健康情報システムと研究に統合することを提唱しました。
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