拉丁美洲以患者为中心的护理概念化:一个范围审查
Anne Klimesch1,2, Alejandra Martinez-Pereira3, Cheyenne Topf2
1Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
拉丁美洲的以患者为中心的护理 (PCC) 在很大程度上与国际模式保持一致,尽管PCC和以家庭为中心的护理 (FCC) 的具体国家方法和定义有很大差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 跨文化医疗保健研究 跨文化医疗保健研究
背景情况:
- 以患者为中心的护理 (PCC) 是拉丁美洲公认的医疗保健目标.
- 在该地区缺乏在临床实践中对PCC的明确统一定义.
研究的目的:
- 确定和分析如何以患者为中心的护理 (PCC) 在拉丁美洲国家被概念化.
- 将区域PCC定义与已建立的国际整合模型进行比较.
主要方法:
- 对科学数据库 (MEDLINE,EMBASE等) 的范围审查. 和卫生部网站 (2006-2021年).
- 包括有关拉丁美洲的文献和与PCC相关的关键词.
- 基于患者为中心的综合模型的演和归纳编码使用PCC定义的分析.
主要成果:
- 分析了32篇文章,其中很大一部分来自巴西.
- 在整合模型和拉丁美洲PCC定义之间发现了很高的相似性.
- 患者信息是一个突出的维度,而身体支持则不那么强调. 他们注意到PCC和以家庭为中心的护理 (FCC) 的定义存在差异.
结论:
- 拉丁美洲PCC的概念化与整合模型有相当大的重叠.
- 在研究中,PCC与FCC的研究重点存在实质性的国家间差异.
- 在拉丁美洲国家中,对PCC和FCC的不同理解仍然存在.
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