混合方法评估护理提供者改善患者体验干预措施
Patience A Afulani1,2, Monica Getahun2, Jaffer Okiring3
1Epidemiology and Biostatistics Department, University of California, San Francisco, California, USA.
概括
照顾提供者以改善患者体验 (CPIPE) 的干预措施成功地减少了提供者的压力和偏见,增强了以人为中心的孕产妇护理 (PCMC). 这一举措改善了提供者福祉和患者体验,特别是在弱势群体中.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 孕产妇健康 孕产妇健康
背景情况:
- 提供者压力和偏见是提供以人为中心的孕产妇护理 (PCMC) 的关键障碍.
- 医疗服务提供者改善患者体验 (CPIPE) 的干预旨在解决这些驱动因素.
- 了解干预措施对提供者福祉和护理质量的影响对于医疗保健系统至关重要.
研究的目的:
- 评估CPIPE干预措施在改善PCMC方面的有效性.
- 评估干预对提供者压力,偏见和倦怠的影响.
- 探索干预对提供者经验和患者护理的多层次影响.
主要方法:
- 在两个肯尼亚医疗机构进行了为期6个月的CPIPE干预试点.
- 采用混合方法预测后测试无等价的对照组设计.
- 分析了来自80家供应商的定量数据 (调查) 和来自20家供应商的定性数据 (采访).
主要成果:
- 干预组显示,压力和偏见的知识分数显著增加,感知压力和倦怠率下降.
- 定性发现显示了个人 (知识,技能,自我效能),人际 (关系) 和机构 (问责制,宣传) 层面的改善.
- 在对照组中没有观察到任何显著的变化,这突显了干预的具体影响.
结论:
- CPIPE的干预有效地改善了提供者的福祉,并为加强以人为中心的孕产妇护理作出了贡献.
- 在多个结局中观察到积极影响,使提供者和患者,包括弱势群体受益.
- 调查结果支持全球努力减轻提供者倦怠和促进公平,以患者为中心的医疗保健.
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