英国卫生服务用户提供的积极反的特征:从两个数据库中分析两个例子的内容分析
Rebecca Lloyd1, Mike Slade1,2, Richard Byng3
1School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
BMJ health & care informatics
|September 17, 2024
概括
积极的患者反可以推动医疗保健的变化,但其特征的细节往往缺失. 本综述将反类型分类为叙事和感恩,为改进反系统提供了见解.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验研究 患者体验研究
- 定性研究方法 定性研究方法
背景情况:
- 大多数医疗服务反都是积极的,但其在推动医疗保健变革中的作用尚未得到充分研究.
- 现有的文献往往缺乏关于积极患者反的特征的具体细节.
- 这项研究通过系统地审查证据来解决这一差距,即正面反如何影响医疗保健改进.
研究的目的:
- 通过开发识别启发式方法来描述积极的患者反.
- 提供积极反的注释示例.
- 描述积极的患者反的内容和细微差别.
主要方法:
- 对经验证据进行了系统的范围审查.
- 数据来源于两个对比的数据库:护理意见和NHS朋友和家庭测试.
- 启发式和反类别从样本中代地改进.
主要成果:
- 识别的反类别包括只有积极的,混合的,叙事的,事实的和感激的.
- 开发了一个类型,描述了反的语气,形式和意图.
- 他们注意到混合反的模糊性和叙事反的上下文丰富性.
结论:
- 反系统应该尽量减少模两可,以最大限度地提高效用.
- 将减少模两可与鼓励丰富叙述之间的平衡至关重要.
- 建议医疗机构提供分析叙事反的资源和培训.
关键词:
医疗保健服务研究 医疗服务研究
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