加强临床医生在门诊护理中使用电子患者报告结果指标:混合方法研究
Veerle van Engen1, Igna Bonfrer1, Kees Ahaus1
1Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, Netherlands.
Journal of medical Internet research
|October 18, 2024
概括
临床医生在门诊护理中使用患者报告的结果措施 (PROM) 仍然很低,尽管有实施策略. 提高PROM的使用需要更深层次的职业态度的转变和为临床医生量身定制的方法.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 医疗保健管理的管理
背景情况:
- 患者报告结果测量 (PROM) 越来越多地用于医院门诊机构.
- 临床医生利用PROM数据来照顾患者的情况仍然不够理想.
- 对提高PROM数据使用的策略的洞察力有限.
研究的目的:
- 检查临床医生在基于价值的门诊咨询中使用PROM数据的情况.
- 确定在荷兰大学医院 (2020-2023) 加强PROM使用的组织策略.
- 探索2023年在临床医生中推动和限制PROM使用的因素.
主要方法:
- 来自绩效指标 (n=70),医院文件 (n=56),临床医生调查 (n=47) 和采访 (n=20) 的综合数据.
- 使用了覆盖范围,有效性,采用,实施和维护 (RE-AIM) 框架.
- 分析了使用专家推实施变革 (ERIC) 分类的策略,按能力,机会和动机进行结构化.
主要成果:
- 临床医生在2023年仅为14%的门诊患者访问PROM数据,尽管有许多策略.
- 医院战略覆盖了ERIC战略的37%,重点是能力,机会和动机,但执行方面存在缺陷.
- 在频繁,偶尔和非使用PROMs的人群中观察到影响因素的变化.
结论:
- 提高临床医生的PROM使用是具有挑战性的,需要的不仅仅是能力,机会和激励策略.
- 为了有效地整合PROM,临床医生的专业态度和实践需要发生转变.
- 医院应该促进临床医生真正参与PROM,考虑针对不同用户群体量身定制的策略.
关键词:
屏障障碍物 屏障障障碍物 屏障障障碍物行为行为行为行为.临床医生 临床医生促成者促成者是指一个促进者.实施实施实施实施实施.混合方法混合方法.患者报告的结果衡量措施.专业化的专业化.策略 策略 策略 策略基于价值的医疗保健更多相关视频
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