英国社会处方的经验:定性系统审查
Nur Hidayati Handayani1, Marta Wanat1, Stephanie Tierney1
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
概括
社会处方通过将患者连接到非医疗资源来帮助患者. 为了获得持久的好处,社会处方推必须与患者的需求和参与的准备一致.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 医疗保健管理的管理
背景情况:
- 社会处方将个人与社区资源联系起来,以满足非医疗需求,将重点转移到整体健康.
- 主要在英国初级保健中实施,它涉及链接工作者识别解决方案,如艺术研讨会或福利指导.
- 了解患者体验对于完善社会处方交付和改善结果至关重要.
研究的目的:
- 综合英国患者对社会处方的经验的定性研究.
- 确定影响社会处方干预措施的有效性和患者接受的关键主题.
主要方法:
- 是对同行评审研究的定性系统审查和专题综合.
- 搜索了六个数据库 (ASSIA,CINAHL,Embase,MEDLINE,PsycINFO,Web of Science) 来查找英国的研究.
- 使用CASP工具评估研究质量,并通过PRISMA 2020检查清单确保报告透明度.
主要成果:
- 选了1269个标题/摘要,在全文审查后包括了19项研究.
- 确定了五个关键主题:逆境中的希望,可变的时间反应能力,持续的变化,感觉得到支持/赋权,以及导致没有反应的错位.
- 患者的体验各不相同,受处方与患者的需求和期望保持一致的影响.
结论:
- 当干预措施与患者的需求和期望相匹配时,社会处方的持久益处是可能的.
- 将社会处方推与患者准备参与的情况相匹配,对于成功至关重要.
- 在开始社会处方转诊之前,医疗保健专业人员应评估患者的适合性.
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