在医院环境中识别和优先考虑低价值护理的多元组件流程:范围审查
Zephanie Tyack1, Hannah Carter2, Michelle Allen3
1Queensland University of Technology, Brisbane, Queensland, Australia z.tyack@qut.edu.au.
BMJ open
|April 11, 2024
概括
这一范围审查综合了关于在医院中识别低价值护理的研究. 进一步的研究应该评估上下文化,多组件的举措,以提高医疗保健价值.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
- 基于证据的实践.
背景情况:
- 低价值护理,定义为提供相对于风险或成本的最小利益的服务,在医院环境中越来越令人担忧.
- 多元组件流程越来越多地用于识别和减少低价值护理,但缺乏全面的综合.
研究的目的:
- 绘制和综合原始研究的多元组件过程,以确定在医院的低价值护理.
- 确定当前研究中的共同主题,框架和差距.
主要方法:
- 对电子数据库 (EMBASE,PubMed,CINAHL,PsycINFO,Cochrane CENTRAL) 和灰色文献进行了范围审查.
- 包括了关于在多元组件医院过程中识别和优先考虑低价值护理的原始研究.
- 使用框架综合,重点关注七个领域和过度使用框架.
主要成果:
- 包括27个记录,主要来自高收入国家.
- 通常定义的低价值护理概念包括效益/价值和风险/危害.
- 过程通常涉及共识,证据审查和上下文化,患者参与或结果评估有限.
结论:
- 在语境化低价值护理识别,患者参与和研究资源贫困环境方面存在差距.
- 进一步的研究应优先考虑评估对特定低价值护理的上下文化,多元组件计划的影响.
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