建立共识,以改善NICE指南关于终身治疗和护理规划的实施:一种混合方法研究
Frances M Wu1, Robert Pralat2, Clare Leong2
1RAND Europe, Eastbrook House, Shaftesbury Road, Cambridge, CB2 8BF, UK. fwu@randeurope.org.
BMC palliative care
|July 13, 2024
概括
优先考虑终身护理对话对于改善患者的治疗结果至关重要. 这项研究制定了基于共识的建议,以加强整个英国的终身治疗和护理计划.
科学领域:
- 医学研究 医学研究
- 医疗保健政策 医疗保健政策
- 患者倡导 患者倡导
背景情况:
- 在英国,终身护理的提供存在显著差异.
- 现有的终身护理指南并没有消除实践中的缺陷.
研究的目的:
- 确定对终身治疗和护理计划的影响.
- 在解决终身护理缺口的建议上达成共识.
主要方法:
- 在线调查,定性访谈和两阶段的共识建设练习.
- 涉及的患者,他们的家人和医疗保健专业人员.
- 使用了主题分析和数据综合.
主要成果:
- 应该鼓励和立即启动终身护理计划对话.
- 确定了对终生偏好的标准化记录的优先级组件.
- 突出了医疗保健专业人员在先进通信方面的关键培训需求.
结论:
- 结合多个利益相关者的观点,确定了改善终身护理的可操作机会.
- 开发的建议是详细的,可执行的,并且对政策制定者和从业人员都很重要.
- 该研究为改善终身治疗和护理规划提供了一个框架.
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