了解影响患者报告结果的因素,将其纳入常规临床实践:一项总体综述
Michael Anderson1,2, Robin van Kessel3,4, Eleanor Wood3
1Health Organisation, Policy, Economics (HOPE), Centre for Primary Care & Health Services Research, The University of Manchester, Manchester, UK. michael.anderson-3@manchester.ac.uk.
概括
实施患者报告结果措施 (PROM) 需要解决诸如低意识和资源限制等障碍. 关键的推动因素包括培训,利益相关者参与和综合系统,以有效改善医疗保健质量.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 患者的治疗结果.
背景情况:
- 患者报告的结果措施 (PROM) 越来越多地被采用来提高医疗保健质量.
- 了解实施挑战对于成功融入常规临床实践至关重要.
研究的目的:
- 确定影响PROM在常规临床实践中的实施的关键推动因素和障碍.
- 综合现有PROM实施审查的调查结果.
主要方法:
- 进行了总体审查,分析了2000年1月至2023年6月期间发表的34篇评论.
- 通过使用理论领域框架,提取了激励因素和障碍,并进行了主题分析.
主要成果:
- 障碍包括有限的认识,低价值感知,复杂性,系统可用性差,反延迟,隐私问题和资源限制.
- 推动因素包括分阶段实施,培训,利益相关方参与,明确目标,变革冠军,响应系统和途径集成.
- 提供纸质和电子PROM以及EHR集成被确定为促进者.
结论:
- 实现可持续的PROM需要多元组件的组织策略.
- 关键策略包括全面的培训,资源配置,定义的角色,以及强大的患者和临床医生咨询.
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