使用动力轮作为一种变革性的工具,通过患者参与的空间和场所来促进公平
Ambreen Sayani1,2,3, Emily Cordeaux4, Kelly Wu2
1Women's College Hospital, Toronto, Ontario, Canada ambreen.sayani@wchospital.ca.
BMJ open
|March 21, 2024
概括
患者参与对于改善医疗保健至关重要,但包括多样化的声音,特别是那些面临健康不平等的人,仍然是一个挑战. 本研究介绍了Power Wheel工具,用于分析和解决患者伙伴关系中的权力动态,以获得更公平的医疗服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 患者参与 患者参与
背景情况:
- 患者参与包括患者和卫生系统之间的合作,以改善护理并与五重目标保持一致.
- 包括多样化的观点,特别是来自经历健康不平等的人群的观点,对于患者参与至关重要但具有挑战性.
- 将边缘化群体排除在健康决策之外,可能会使结构性不平等继续存在.
研究的目的:
- 解决了解患者参与中的权力动态的差距.
- 为包容性患者参与提供可行的策略,促进健康公平.
- 引入一种新的概念工具,用于分析患者合作倡议中的权力.
主要方法:
- 借鉴权力理论概念和患者参与的实践经验.
- 共同设计一个促进公平的患者参与模式: 公平动员社区的伙伴关系.
- 介绍"动力轮"作为一种工具,用于分析患者参与中的动力动态.
主要成果:
- "动力轮"有助于分析患者参与设置中的动力交叉.
- 该工具有助于报告,反思和解决功率不对称的问题.
- 它提高了透明度,并确定了公平转型和社会包容的机会.
结论:
- "动力轮"是患者合作项目的持续反思和行动的实用工具.
- 它支持建立更公平,更包容的医疗保健系统.
- 最终,它有助于确保卫生服务满足所有个人的各种需求和优先事项.
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