在初级保健中测量估值输出:挑战和和解
Michel Wensing1, Catharina Roth1, Katja Krug1
1Heidelberg University Hospital, Department of General Practice and Health Services Research, Heidelberg, Germany.
Expert review of pharmacoeconomics & outcomes research
|June 12, 2023
概括
护理的高连续性提高了健康结果. 研究需要对初级保健产出的验证措施,以更好地了解和改进医疗保健系统.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健医学 一级医疗保健医学
- 患者的健康结果.
背景情况:
- 强大的初级保健,以高连续性为特征,对患者和人口健康产生积极影响.
- 了解将护理连续性与健康结果联系在一起的机制,需要对初级保健产出的具体措施.
- 目前的研究缺乏对大多数初级保健产品的综合和验证措施.
研究的目的:
- 识别和评估测量初级保健产出的现有患者问卷.
- 评估当前措施在多大程度上捕捉了高护理连续性的关键产出.
- 突出需要为初级保健产出制定有效的措施,以推进研究.
主要方法:
- 系统性审查以确定验证的患者问卷.
- 规范了九种潜在的高护理连续性输出.
- 对45个已识别的调查问卷进行了检查,并与特定的输出进行了对比.
主要成果:
- 45个问卷中的18个问卷涵盖了一个或多个初级保健输出.
- 现有调查问卷对初级保健产品的覆盖范围是可变的,并且大多是有限的.
- 没有一个单一的问卷单能全面衡量所有已识别的输出.
结论:
- 对初级保健产出的验证措施对于加强临床和卫生服务研究至关重要.
- 这些措施的开发将加强对医疗保健干预效应的解释.
- 更好地了解和衡量初级保健产出可以帮助解决更广泛的医疗保健系统挑战.
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