评估患者参与基于价值的医疗保健:当前状态和经验教训
Henrike J Westerink1,2, Mirjam M Garvelink1, Cornelia F van Uden-Kraan3
1Department of Value Improvement, St. Antonius Hospital, Nieuwegein, The Netherlands.
概括
患者参与价值改善 (VI) 团队尚未完全实施. 建议制定患者纳入,方法,影响评估和反指南,以加强基于价值的医疗保健 (VBHC).
科学领域:
- 医疗保健管理的管理
- 患者参与 患者参与
- 基于价值的医疗保健
背景情况:
- 基于价值的医疗保健 (VBHC) 旨在最大限度地提高患者的价值.
- 医院通过价值改善 (VI) 团队实施VBHC.
- 患者参与对于理解患者对价值的看法至关重要.
研究的目的:
- 评估患者参与VI团队的现状.
- 识别有关患者参与的挑战和经验教训.
- 为有效的患者参与改善医疗保健的战略提供信息.
主要方法:
- 在七家荷兰医院进行混合方法研究.
- 对147名VI小组成员 (76个小组) 的问卷进行定量分析.
- 对30次与VI团队成员进行的半结构面试进行了定性主题分析.
主要成果:
- 在76个VI小组中,只有38个报告了患者参与.
- 大多数 (71%) 缺乏明确的患者参与战略/目标.
- 患者感到满意和平等,但希望得到更多的反.
结论:
- 患者参与VI团队的实施不足.
- 需要关于患者纳入,方法,影响评估和反的指南.
- 提高患者参与度是成功VBHC的关键.
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