患者在专科护理协调方面的经验:调查开发和验证
Varsha G Vimalananda1,2, Mark Meterko3, Kailyn E Sitter1
1Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA.
Journal of patient-centered research and reviews
|December 4, 2023
概括
一项名为"专科护理协调 - 患者 (CSC-患者) "的新调查评估了患者在专科护理协调方面的经验. 这种可靠的工具,以及相应的调查,有助于确定需要改善护理的领域.
科学领域:
- 医疗保健管理的管理
- 患者体验研究 研究研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有效的专科护理协调需要患者,初级保健提供者 (PCP) 和专家之间的双向信息流.
- 现有的措施评估了PCP和专家的观点;需要以患者为中心的措施来完成三位一体.
- 退伍军人事务卫生系统为这项患者体验研究提供了背景.
研究的目的:
- 开发和评估关于专科护理协调的患者报告调查的心理测量特性.
- 创建一个全面的调查套件,从专业护理三元组的三个角度来衡量护理协调.
- 确保新措施补充现有的PCP和专业协调调查.
主要方法:
- 通过文献审查,患者访谈和现有措施,开发了一项38项调查.
- 从939名患者通过邮件和在线调查收集了两波 (2019-2021) 的数据.
- 探索性/确认性因子分析和回归分析评估了尺度结构和有效性.
主要成果:
- 完成了一项38项,10因素测量患者经验的专科护理协调.
- 尺度表现出良好的内部一致性,解释了整体协调中59%的差异.
- 一个新的10项以患者为中心的护理协调规模出现了,专注于患者的目标和偏好.
结论:
- 专科护理协调 - 患者 (CSC-患者) 调查是评估患者体验的可靠工具.
- 该CSC-患者可以独立使用或与CSC-PCP和CSC-专家调查一起使用.
- 该工具有助于详细评估和确定改善专科护理协调的目标.
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