评估临床接触持续时间和速度的仪器:范围审查
Cristian Soto Jacome1, Nataly R Espinoza Suarez2, Elizabeth H Golembiewski3
1Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, USA; Department of Internal Medicine, Norwalk Hospital, Nuvance Health, CT, USA.
现有的工具可以测量患者和临床医生在临床接触中对时间充足性的看法. 需要进一步的研究来证实它们在识别忙咨询和评估缓慢护理干预措施方面的有效性.
科学领域:
- 医疗保健的质量 医疗保健的质量
- 患者体验 患者体验
- 临床操作 临床操作
背景情况:
- 忙的临床接触导致患者和临床医生的不满.
- 这些遭遇可能表明并有助于医疗保健质量不佳.
- 需要仪器来测量临床环境中的时间体验.
研究的目的:
- 识别患者或临床医生报告的仪器,用于测量临床接触中对时间充足性的感知.
- 评估现有测量工具的可用性和特性.
主要方法:
- 从开始到2023年7月进行了全面的数据库搜索.
- 确定了在临床接触中评估感知时间充足性的仪器和单个项目.
- 根据时间域 (持续时间/节奏),响应者 (患者/临床医生) 和参考 (一般/特定遭遇) 进行了表征工具.
主要成果:
- 确定了96个工具,其中包含107个与时间相关的项目.
- 81%的项目测量了感知到的遭遇持续时间;18%测量了速度.
- 大多数项目 (71%) 是患者报告,评估一般护理经验或特定遭遇方面.
结论:
- 现有的项目可以捕捉患者和临床医生对接触持续时间和速度的看法.
- 需要进一步验证,以确认它们在识别忙咨询中的有用性.
- 这些措施可以为质量改进干预提供信息,目标是照顾的时间充足.
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