在智障人士中测量医疗保健经验:工具和方法的快速证据综合
Reema Harrison1, Corey Adams1, Bronwyn Newman1
1Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia.
概括
患者报告体验测量 (PREM) 对于改善医疗保健质量至关重要. 这次审查发现,虽然PREM用于智障人士的特定服务,但缺乏全系统调查,这阻碍了公平的护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
- 患者体验测量 患者体验测量
背景情况:
- 患者报告经验测量 (PREM) 对改善医疗保健质量和以价值为基础的护理至关重要.
- 智力障碍的人体验到更高的医疗保健利用率和更差的结果,但他们的经验往往被排除在全系统PREM之外.
- 在智力残疾人中收集数据的PREM应用仍未得到充分探索.
研究的目的:
- 识别和综合测量工具和方法,以收集患者报告的智力残疾人的体验数据.
- 探索PREMs在这个群体中的应用现状.
- 为未来的包容性患者体验评估策略提供信息.
主要方法:
- 进行了快速的证据评估,在电子数据库和灰色文献中采用全面的搜索策略.
- 使用叙事合成来分析和整合包含的文件中的发现.
- 总共审查了48份文件,包括26篇同行评审文章和22个灰色文献来源.
主要成果:
- 智力障碍患者患者报告的经验主要是通过以特定服务或遭遇为重点的定性方法收集的.
- 值得注意的是,对于这一群体,没有针对性的服务或全系统调查.
- 现有的临床和特定疾病的工具为更广泛的应用提供了潜在的见解.
结论:
- 评估智力障碍患者的患者体验需要仔细考虑个体识别,仪器设计,数据收集流程和变化应用.
- 关于如何利用收集的患者体验数据来改善这一群体的医疗服务的研究是有限的.
- 实施PREM对于推动医疗保健供应的改进和实现智力残疾人平等的护理质量至关重要.
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