职业治疗师在初级保健中使用的基于价值的结果评估方法:范围审查
Laura Ingham1,2, Alison Cooper3, Deborah Edwards1,2
1School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Cardiff, United Kingdom.
JBI evidence synthesis
|November 7, 2024
概括
在初级保健中,职业治疗师使用各种方法来评估结果,大致与基于价值的医疗保健原则保持一致. 然而,测量的一致性是必要的,以证明该专业对医疗保健价值的影响和贡献.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 盟友卫生专业 相关卫生专业
- 职业疗法 职业疗法 职业疗法
背景情况:
- 初级保健服务面临着日益增长的需求,职业治疗角色的增加.
- 评估职业治疗在初级保健中的结果和影响是研究不足的.
- 基于价值的医疗保健旨在改善健康结果和系统价值.
研究的目的:
- 绘制职业治疗师如何评估初级保健服务结果的地图.
- 评估这些评估方法是否与基于价值的医疗保健原则保持一致.
主要方法:
- 对同行评审文章和灰色文献进行范围审查 (英语).
- 包括评估初级保健机构职业治疗服务的研究.
- 排除仅用于研究,而不是常规实践的方法.
主要成果:
- 包括来自五个国家的16项研究,主要是定量或混合方法.
- 结果评估方法通常与基于价值的医疗保健保持一致,特别是在证明改善健康方面.
- 患者报告的结果措施是常见的;成本削减是最不代表的.
结论:
- 在初级保健中,职业治疗结果的测量是多方面的,但不一致.
- 这种不一致性影响了建立有效性和证明对以价值为基础的医疗保健贡献的能力.
- 标准化数据采集是服务规划和证明专业价值所必需的.
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