在初级保健中传播血液检测结果:混合方法系统审查
Helen Nankervis1, Alyson L Huntley1, Penny Whiting1
1Population Health Sciences, Bristol Medical School, University of Bristol, Bristol.
概括
患者希望更多的血液检测结果信息和更快的交付. 虽然电子通信经常被接受,但临床医生对直接在线发布有不同的看法,原因是潜在的焦虑和工作量增加.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 患者沟通 患者沟通
背景情况:
- 英格兰2023年GP合同变更要求在线访问患者记录,包括测试结果.
- 有效的血液检测结果沟通对于以患者为中心的护理,安全和管理初级保健工作量至关重要.
- 需要证据来确保安全和有效的初级保健测试结果的交付.
研究的目的:
- 系统地审查有关初级保健提供者与患者/护理人员之间血液检测结果沟通的现有证据.
- 识别患者和临床医生的偏好,障碍,以及测试结果沟通中的促进者.
主要方法:
- 进行了混合方法系统审查.
- 在 MEDLINE,Embase,PsycInfo,CINAHL 和 Cochrane 图书馆进行了搜索 (2013 年 1 月至 2023 年 9 月).
- 包括对初级保健工作人员进行的定性或定量研究,这些工作人员向成年患者和护理人员传达了血液测试结果.
主要成果:
- 包括71项研究;大多数研究质量差,偏差风险高.
- 患者希望获得更多的结果信息,特别是关于下一步的信息,并更喜欢快速交付.
- 电子方法 (在线访问,短信) 被普遍接受,但不是普遍接受的;临床医生对直接在线释放的看法与潜在的焦虑和工作负担相比是混合的.
结论:
- 关于患者/临床医生的偏好和沟通障碍/促进者的重要证据存在.
- 这些发现与NHS目前向增加患者在线访问的转变高度相关.
- 需要进一步的研究,以优化在初级保健中安全和有效的血液检测结果沟通.
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