基于价值的医疗保健中患者报告的结果措施:一项多种方法研究,以评估患者为中心
Martha Kidanemariam1, Olaf M Neve2, Isabelle van den Heuvel3
1Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands.
在基于价值的医疗保健 (VBHC) 中实施患者报告结果措施 (PROM) 增加了结果讨论,但没有增强以患者为中心. 医生应该与患者合作,以确定讨论PROMs的价值.
科学领域:
- 医疗保健管理的管理
- 以患者为中心的护理
- 医疗信息学 医疗信息学
背景情况:
- 基于价值的医疗保健 (VBHC) 强调标准化结果测量,包括患者报告的结果测量 (PROM).
- 评估PROMs对患者和人为中心的影响对于有效的医疗保健服务至关重要.
- 静脉瘤治疗途径为评估医疗保健创新提供了一个特定的背景.
研究的目的:
- 在VBHC环境中评估PROM实施与患者和人为中心之间的关联.
- 确定讨论PROM是否会影响临床咨询的以患者为中心.
- 探索患者和医生对PROM实施的看法.
主要方法:
- 使用了带有单独样本的测试前/测试后设计.
- 使用多种数据收集方法:观察,问卷和采访.
- 这项研究的重点是针对 vestibular schwannoma 患者的 VBHC 护理途径.
主要成果:
- 在PROM实施后观察到的或患者报告的以患者为中心和以人为中心方面没有发现显著差异.
- 虽然关于患者报告结果的讨论增加了,但大多数患者没有预计会有这样的讨论.
- 共有139名患者和4名医生参与了这项研究.
结论:
- 在VBHC中实施标准化的PROM导致了对患者报告结果的讨论增加.
- 该研究没有发现证据表明PROM实施改善了以患者为中心的咨询.
- 医生和患者应共同评估在临床实践中讨论PROMs的价值.
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