患者参与有关急诊室出院的决策:一项多方法研究
Marie Louise Thise Rasmussen1, Kirsten Lomborg2,3, Kasper Karmark Iversen1,3
1Department of Emergency Medicine, Copenhagen University Hospital-Herlev and Gentofte, Herlev 2730, Denmark.
Emergency medicine international
|June 16, 2023
概括
大多数急诊室患者不参与出院决策,尽管有好处. 改善患者参与出院计划对于更好的医疗保健结果和患者满意度至关重要.
科学领域:
- 医疗保健研究的研究.
- 患者体验患者体验
- 紧急医疗 紧急医疗
背景情况:
- 许多急诊室患者有未满足的护理需求和多种出院选择.
- 患者参与出院决策与积极的健康结果有关.
- 不到一半的急救护理患者报告希望参与决策.
研究的目的:
- 评估患者参与急性护理出院计划的情况.
- 了解患者参与释放决策在实践中如何管理.
主要方法:
- 一个多方法研究,结合了定量和定性数据.
- 医疗记录的定量分析和CollaboRATE问卷.
- 医疗保健专业人员与患者互动的定性内容分析.
主要成果:
- 在615名急诊室患者中,36%的患者报告说,他们对出院决定的最佳参与.
- 出院院和没有再接收与更高的感知参与有关.
- 临床实践优先考虑症状和诊断,限制了患者偏好的对话.
结论:
- 三分之二的患者认为他们不参与急诊室出院的决定.
- 组织结构和有限的对话阻碍了患者参与.
- 未来的努力应侧重于增加患者参与释放决策.
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