实现诊断卓越:制定和使用患者报告的措施的路线图,以公平的角度来看
Kathryn M McDonald1,2, Kelly T Gleason1, Anushka Jajodia1
1Johns Hopkins University School of Nursing, Baltimore, MD, USA.
International journal of health policy and management
|August 5, 2024
概括
患者报告的措施 (PRM) 可以通过整合患者的声音和促进公平来提高诊断的卓越性. 开发的路线图指导PRM的创建和实施,以获得更好的患者护理和结果.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 以患者为中心的护理
- 医疗信息学 医疗信息学
背景情况:
- 诊断卓越对于准确的患者状况评估至关重要,包括患者和护理合作伙伴的观点.
- 患者报告的措施 (PRM) 是捕捉患者体验的关键工具,可以大大促进实现诊断卓越.
- 这项研究的重点是制定路线图,以指导创建和实施PRM以实现诊断卓越.
研究的目的:
- 制定一套路线图,说明目标并指导开发患者报告的诊断卓越措施 (PRMs).
- 通过确定关键目标和战略,实现患者报告的诊断卓越的愿景.
- 为在诊断卓越倡议中不同利益相关者之间协调测量活动提供框架.
主要方法:
- 利用从文献扫描,专家咨询和患者反中获得的代输入.
- 采用以人为中心的设计 (HCD) 和以公平为中心的路线图方法.
- 召开专家会议作为最后的活动,以综合发现并制定路线图.
主要成果:
- 确定了使用PRM的诊断卓越的多个目标,包括连续性,警报,质量改进,研究,查,人口层面的模式和患者讲故事.
- 承认公平作为PRM开发和实施的跨界目标.
- 制定了动态路线图,概述PRM发展阶段 (开发,认可,实施,扩展,行动),时间框架 (8-15年),协同效应和挑战.
结论:
- 患者报告的措施 (PRM) 可以有效地将患者的观点和公平纳入诊断卓越目标.
- 开发的路线图为利益相关者之间协调测量活动提供了实用的设计方法.
- 路线图强调了PRM在临床和公共卫生环境中的多功能性,强调了需要自上而下的和自下而上的方法.
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