病人的医疗预约缺席的原因:混合方法研究的协议
Daria Schwalbe1,2, Morten Sodemann3,4, Maria Iachina5,6
1Centre for Patient Communication (CFPK), Department of Clinical Research, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
JMIR research protocols
|September 19, 2023
概括
丹麦的医疗保健面临着大量的患者不出现,浪费资源和冒险患者安全. 本研究从患者的角度研究错过的预约,以改善干预措施并减少健康不平等.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验研究 患者体验研究
- 医疗保健管理的管理
背景情况:
- 丹麦医疗保健中大约三分之一的患者预约被错过,导致患者风险和资源浪费.
- 目前的干预措施往往只关注患者,证明无效,并可能加剧社会偏见和健康不平等.
- 需要对医疗保健的全方位理解,以优化流程并支持脆弱的患者群体.
研究的目的:
- 综合了解丹麦医院缺勤的原因,机制和模式.
- 从患者的角度分析导致医疗保健不出现的关系和组织过程.
- 确定有效的沟通策略和组织流程,以成功开发和实施干预措施.
主要方法:
- 在四个分析项目中混合定量和定性研究设计.
- 来自电子病历,中央登记处和国家患者/药品统计数据的定量数据.
- 来自观察的定性数据,与患者和从业人员的半结构面试,以及咨询视频录像.
主要成果:
- 研究协议由诺沃诺迪斯克基金会在2022年7月资助,招聘从2023年2月开始.
- 量化数据分析预计将于2023年9月完成;定性调查将于2023年10月开始.
- 初步研究结果预计将在2024年底公布.
结论:
- 现有的研究不足以解决丹麦医疗保健中没有出现的关系和组织因素.
- 目前的干预措施取得了有限的成功,这表明无法适应脆弱的患者.
- 有效的干预需要定性方法和民族学数据来提高患者的安全性,一致性和治疗质量.
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