患者参与基于证据的实践框架
1Department of Evidence Based Practice, Children's Mercy Kansas City, Kansas City, MO, USA.
Journal of patient experience
|December 6, 2024
概括
基于证据的实践 (EBP) 框架往往缺乏患者参与. 这项研究发现,在整合患者价值观和偏好方面存在重大差距,突出了医疗保健决策中需要改进策略的需要.
科学领域:
- 医疗保健研究的研究.
- 临床实践指南 临床实践指南
- 医疗服务研究 医疗服务研究
背景情况:
- 基于证据的实践 (EBP) 整合了证据,专业知识和患者价值观,以获得最佳的医疗保健结果.
- 患者参与对EBP至关重要,但其融入现有框架需要澄清.
研究的目的:
- 在已建立的EBP框架内评估患者参与程度.
- 识别医疗保健决策模型中纳入患者价值观和偏好方面的差距.
主要方法:
- 对医疗保健中的EBP框架进行范围审查的二次分析.
- 在直接护理,组织设计和政策领域利用了患者参与连续 (咨询,参与,共同领导) .
主要成果:
- 在分析的EBP框架中整合患者的价值观和偏好存在明显的缺陷.
- 只有很小一部分经过评估的框架在所有医疗保健领域都表现出了全面的患者参与.
结论:
- 目前的EBP框架不充分纳入患者参与,特别是患者价值观和偏好.
- 进一步的研究是发展和评估有效的战略,以有意义的患者参与EBP是必不可少的.
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