确定患者参与初级保健质量改善的潜在结果:修改后的Delphi研究
Nancy Pandhi1,2, Nora Jacobson3, Madison Crowder4
1Department of Family and Community Medicine, University of New Mexico, Albuquerque, New Mexico, USA.
患者参与初级保健质量改善,在所有医疗保健层面都产生了显著的结果. 这项研究确定了46个来自共识的结果,突出了未来举措的潜在进展.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高科学 提高质量
- 患者参与研究 患者参与研究
背景情况:
- 缺乏确定的结果阻碍了对患者参与初级保健质量改善的资源配置.
- 患者参与对于提高医疗保健质量和有效性至关重要.
研究的目的:
- 确定患者参与初级保健质量改善计划的潜在结果.
- 将这些结果分类到三个医疗保健水平:微型/直接护理,中型/微系统和宏观/临床/系统.
主要方法:
- 使用了修改后的Delphi技术.
- 最初的结果来自患者和临床医生领导的重点小组.
- 通过与国家专家进行的基于网络的调查,结果得到了改进和扩展.
主要成果:
- 制定了46个结果的共识清单,达到至少80%的协议.
- 结果被分类为微 (22),中 (9),和宏 (15) 级别.
- 该研究提供了潜在的患者参与结果的全面框架.
结论:
- 患者参与初级保健质量改善计划可以在所有卫生系统层面推动进步.
- 确定结果为未来的研究和干预设计提供了基础.
- 对于未来的项目,建议对这些结果进行验证和测量.
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