提供优质的医疗护理. 一个定义 一个定义 一个定义
1Department of Philosophy, University of Colorado, Boulder.
JAMA
|July 1, 1988
概括
这项研究通过其实现以患者为中心的目标的能力来定义优质医疗保健. 它强调正式评估患者的价值观,以确保护理与其合法医疗和非医疗目标保持一致.
科学领域:
- 医疗保健管理的管理
- 医学伦理 医学伦理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 定义高质量的医疗保健对于改善医疗保健至关重要.
- 当前的定义往往侧重于属性,而不是目标实现.
- 患者价值观显著影响医疗保健目标,但往往没有被评估.
研究的目的:
- 根据目标的实现,提出质量医疗护理的新定义.
- 探索医疗和非医疗目标在护理中的选择和合法性.
- 检查这个定义对医疗保健实践的影响,如图表审查.
主要方法:
- 概念分析和定义. 概念分析和定义.
- 与现有的护理质量定义进行比较.
- 讨论目标选择,合法性和患者价值观.
主要成果:
- 优质医疗保健被定义为护理要素实现合法医疗和非医疗目标的能力.
- 患者的价值观是定义这些目标的核心.
- 当前的病历审查实践可能无法充分捕捉以患者为中心的目标.
结论:
- 应该将患者价值的正式评估纳入患者记录.
- 这种方法确保医疗保健与以患者为中心的目标保持一致.
- 采用这种定义可以提高医疗护理的质量和相关性.
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