基于价值的医疗保健计划中患者报告的结果措施的实施,使用和影响:范围审查
Mayara Silveira Bianchim1, Ellie Crane1, Anwen Jones1
1School of Medical and Health Sciences, Bangor University, Bangor, United Kingdom.
PloS one
|December 6, 2023
概括
患者报告结果指标 (PROM) 显示了基于价值的医疗保健 (VBHC) 的潜力,但最优的实施情况尚不清楚. 需要更多的研究来了解PROM如何对患者和临床医生起到最好的作用.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
- 健康 结果 研究 研究 结果
背景情况:
- 基于价值的医疗保健 (VBHC) 优先考虑患者的结果和有效的资源管理.
- 患者报告结果措施 (PROMs) 捕捉了患者对健康和疾病影响的观点.
- 本范围审查审查审查了在VBHC.中PROM的实施和使用.
研究的目的:
- 了解PROM如何在以价值为基础的医疗保健中实施和使用.
- 评估PROMs对VBHC.患者结果和医疗保健服务的影响.
- 确定PROM集成在VBHC中的挑战和最佳实践.
主要方法:
- 使用Arksey和O'Malley的框架和混合方法框架综合的范围审查.
- 在多个数据库 (CINAHL,EMBASE,MEDLINE,PsycINFO,Web of Science,Google Scholar) 和参考列表中进行全面的文献搜索.
- 使用与审查目标一致的先验框架提取数据,并将混合方法数据集成并报告.
主要成果:
- 包括43项涉及60,200名参与者的研究.
- 发现了PROM有效性的有限的强有力的证据;很少有研究报告了成熟的程序理论.
- 人们认为PROM可以提高患者的满意度,自我管理和健康结果,但最佳实施和沟通仍然是挑战.
结论:
- 在VBHC环境中,PROM还没有充分发挥其潜力.
- 临床医生和患者缺乏对最佳PROM实施策略的清晰理解.
- 需要进一步的研究来探索VBHC中的各种PROM实施模型,以确定特定环境的有效性.
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