实施和评估一项培训计划,以提高患者导航者的能力:中国一家公共三级医院的准实验
Shuo Liu1, Weiwei Tang2, Qing Chang3
1Office of Planning and Development, Peking Union Medical College Hospital (Dongdan Campus), No.1 Shuaifuyuan Wangfujing Dongcheng District, Beijing 100730, China.
Healthcare (Basel, Switzerland)
|February 25, 2025
概括
一个能力提升培训计划 (CITP) 在中国增强了患者导航员 (PN) 的技能. 虽然最初的收益是显著的,但长期有效性需要在不同的医疗保健环境中进一步研究.
科学领域:
- 医疗保健管理的管理
- 患者倡导 患者倡导
- 医学教育 医学教育
背景情况:
- 由于需求高,资源有限,患者导航在中国的公立医院至关重要.
- 患者导航员 (PNs) 缺乏标准化的培训和评估,这影响了患者的护理.
- 一项试点研究旨在开发和评估PNS的培训计划.
研究的目的:
- 为了澄清患者导航员的能力.
- 设计和试点一个可行的能力提升培训计划 (CITP).
- 评估CITP对PN能力和患者满意度的有效性.
主要方法:
- 在六个月的时间里,采用了一种准实验性设计.
- 计划-执行-检查-行为 (PDCA) 框架和米勒金字塔模型为课程提供了信息.
- 在培训之前,培训期间和培训结束后,测量PN能力和患者满意度.
主要成果:
- 在CITP显著提高PN能力分数从90.259到95.453.
- 患者对PN服务的满意度在六个月内略有改善.
- 观察到技能实际应用方面的挑战,表明有量身定制的培训需求.
结论:
- 该CITP有效地提高了PN的核心能力,并提供了一个基于证据的课程模型.
- 需要进一步的多中心研究和更长的随访时间来验证该计划.
- 根据导航员人口统计和患者反,可能需要不同的培训方法.
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