儿科患者报告结果和经验措施的采用以及与阿尔伯塔省实施相关的挑战:混合方法研究研究
Sumedh Bele1,2,3, Sarah Rabi4, Muning Zhang5
1Department of Pediatrics, Cumming School of Medicine, University of Calgary, 2500 University Dr NW, Calgary, AB, T2N 1N4, Canada. sumedh.bele@ucalgary.ca.
BMC pediatrics
|July 18, 2023
概括
患者报告的结果和经验测量 (PROM和PREM) 在阿尔伯塔省未得到充分利用.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 提供儿科医疗保健服务.
- 患者为中心的护理指标
背景情况:
- 患者报告的结果测量 (PROM) 和患者报告的经验测量 (PREM) 对于以患者和家庭为中心的护理 (PFCC) 至关重要.
- 阿尔伯塔省卫生服务 (AHS) 是加拿大最大的综合卫生系统,其儿科部门缺乏常规的PROM和PREM整合.
- 本研究通过检查阿尔伯塔省儿科医疗保健中的PROM和PREM整合来解决这一差距.
研究的目的:
- 研究目前在阿尔伯塔省的儿科医疗保健中采用PROM和PREM的情况.
- 确定在AHS中实施PROM和PREM的障碍和推动因素.
- 在儿科环境中有效地整合PROM和PREM的策略.
主要方法:
- 分发给儿科临床医生和学术研究人员的定量调查,他们有PROM和PREM的经验.
- 与关键利益相关者进行了定性访谈,以探索实施挑战.
- 定量数据的描述性分析 (n=22) 和定性数据的专题分析 (n=14).
主要成果:
- 确定了33种正在使用的PROM和6种正在使用的PREM,展示了各种应用和管理方法.
- 实施中的挑战与患者,家庭护理人员和临床医生有关.
- 缺乏系统级支持,包括电子医疗记录集成,成为一个重要的障碍.
结论:
- 由于PROM和PREM的多样化和零星使用,需要在阿尔伯塔省制定统一的全省范围的实施战略.
- 结果为开发基于证据的策略为儿科PROM和PREM实施提供了基础.
- 标准化整合可以提高在儿科环境中以患者和家庭为中心的护理的提供.
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