低收入和中等收入国家以个人为中心的诊断成像护理的要素:系统审查
A N A Adjei1, A Donkor2, Y A Wiafe1
1Department of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Radiography (London, England : 1995)
|January 4, 2024
概括
这一系统性审查确定了在低收入和中等收入国家 (LMICs) 中诊断成像中以人为本的护理的六个关键要素. 实施这些要素可以改善这些环境中的患者安全,沟通和整体护理质量.
科学领域:
- 放射学和医学成像学 医学成像学
- 医疗保健管理的管理
- 全球健康 全球健康
背景情况:
- 在诊断成像中以人为中心的护理缺乏统一的定义,这在实施方面带来了挑战.
- 低收入和中等收入国家 (LMICs) 的诊断成像服务在访问,安全,质量和患者响应方面面临重大障碍.
- 在LMICs中迫切需要创新的,以人为中心的诊断成像干预措施.
研究的目的:
- 系统地审查和识别LMIC中诊断成像中应用的以人为本的护理元素.
- 综合现有的关于在资源有限的环境中在诊断成像中测量以人为中心的护理的文献.
- 为 LMICs 中以人为中心的护理干预措施的发展提供信息.
主要方法:
- 通过使用Embase,MEDLINE和Cochrane图书馆进行了系统的文献审查.
- 通过使用批判性评估技能计划和混合方法评估工具,对研究进行了偏差评估.
- 在以人为中心护理的Picker原则为指导的叙事综合,对来自12个LMIC的26篇纳入文章进行了叙事综合.
主要成果:
- 诊断成像中以人为中心的护理出现了六个核心主题:获得高质量/安全的护理,有效的沟通/共享决策,舒适的环境,尊重的放射科医生,协调的护理过程和家庭参与.
- 该综述包括来自12个LMIC的26篇文章,突出了以人为中心的护理的一系列方法.
- 确定的主题为评估和增强诊断成像中的以患者为中心提供了一个框架.
结论:
- 在LMICs的医学成像设施需要在访问,安全,质量和以患者为中心方面取得重大改进.
- 创新的以人为中心的诊断成像护理干预措施对LMICs至关重要.
- 系统思维和利益相关者的参与,包括政策制定者,对于公平获得诊断成像服务至关重要.
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