患者对医院实验室血液检测的看法:以患者为导向和患者共同设计的定性研究
Surakshya Pokharel1,2, Zoha Khawaja1,2, Jonathan Williams2
1Ward of the 21st Century, Calgary Zone of Alberta Health Services, University of Calgary, Calgary, Canada.
患者参与医院血液检测需要明确沟通程序,理由和结果. 让患者参与决策可以增强他们的体验,并减少不必要的实验室测试.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者为中心的护理
- 实验室医学 实验室医学
背景情况:
- 医院中不分青红白的实验室血液检测导致患者不适和医疗保健浪费.
- 患者参与是减少低价值医疗保健和过度使用测试的关键.
- 了解患者的体验对于改善医院内测试的参与至关重要.
研究的目的:
- 探索和理解患者在医院实验室血液检测过程中的体验.
- 确定增强患者参与实验室检测的机会.
- 收集患者关于改善血液检测体验的观点.
主要方法:
- 使用半结构面试 (在线/电话) 进行的定性研究.
- 包括最近住院的成年患者或护理人员 (加拿大阿尔伯塔省/不列颠哥伦比亚省).
- 面试成绩单的主题内容分析,直到代码和.
主要成果:
- 出现了四个关键主题:对流程的信息需求,抽血期间舒适度/偏好的重要性,对理由/频率细节的渴望,以及理解测试结果的影响.
- 采访了16名参与者 (13名患者,3名家庭成员/护理人员).
- 患者的需求和建议凸显了对更加以患者为中心的测试流程的需求.
结论:
- 目前的医院实验室测试缺乏共享决策和患者参与.
- 提高患者参与度需要有同情心的医疗保健团队,提供对程序,理由和结果的清晰沟通.
- 考虑患者的偏好和提供参与机会对于改善医院内实验室测试体验至关重要.
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