临床脏实践中的电子患者报告结果 (ePRO Kidney):为临床医生提供教育支持的过程评估
Kara Schick-Makaroff1, Scott Klarenbach2, Jae-Yung Kwon3
1Faculty of Nursing, University of Alberta, 4-116 Edmonton Clinic Health Academy, 11405-87 Avenue, Edmonton, AB T6G 1C9, Canada.
Therapeutic advances in chronic disease
|June 19, 2023
概括
使用电子患者报告结果 (ePRO) 的临床医生的教育支持并没有改善透中以人为中心的护理. 培训复杂性和临床医生关注症状而不是生活质量是障碍.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 改善医疗保健质量 改善医疗保健质量
- 以患者为中心的护理
背景情况:
- 患者报告的结果 (PROs) 在脏护理中越来越重要,以整合患者的观点.
- 电子PRO (ePRO) 提供了一种收集患者反的数字方法.
研究的目的:
- 评估使用ePROs的临床医生的教育支持是否可以增强以人为中心的护理.
- 评估临床医师教育对家庭透析环境中ePROs常规使用的影响.
主要方法:
- 在两个城市家庭透析诊所进行了一项混合方法的纵向比较研究.
- 实施地点的临床医生获得了ePRO和自愿教育研讨会;对照地点没有.
- 以人为中心的护理使用慢性疾病护理的患者评估-20 (PACIC-20) 进行了测量,并补充了定性数据.
主要成果:
- 在实施和控制地点之间没有观察到以人为中心的护理 (PACIC-20分数) 的总体显著差异.
- 纵向分析显示了PACIC轨迹的显著个体变化,但没有与干预有关的改善.
- 定性数据显示了障碍,例如临床医生专注于症状,研讨会不满足患者需求以及不一致的ePRO数据利用.
结论:
- 对ePRO的临床医生培训是复杂的,本身就不足以增强以人为中心的护理.
- 需要进一步的战略来有效地将ePRO纳入临床实践,并改善以患者为中心.
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