公平驱动的诊断卓越框架:一种上游方法,以尽量减少诊断不公平的风险
Noor H Simsam1, Rawan Abuhamad2, Khalid Azzam3
13708 Hamilton Health Sciences , Hamilton, ON, Canada.
Diagnosis (Berlin, Germany)
|March 1, 2025
概括
开发了一个新的公平驱动的诊断卓越 (DxEqEx) 框架,以提高诊断准确性和减少边缘患者的差异. 它确定了16个跨个人,团队和结构领域的竞争力.
科学领域:
- 医疗保健的质量和安全
- 健康 公平 卫生 公平
- 医学教育 医学教育
背景情况:
- 诊断错误是可预防的患者伤害的主要原因,并造成重大成本.
- 由于系统性医疗保健不平等,历史上被边缘化的人口经历了不成比例地更高的诊断错误率.
- 将公平纳入诊断过程对于解决这些差异至关重要.
研究的目的:
- 开发,完善和验证一个公平驱动的诊断卓越能力框架 (DxEqEx).
- 确保该框架在整个诊断过程中满足历史上被边缘化的患者的需求.
主要方法:
- 修改后的Delphi方法被用于跨学科的医疗保健系统参与者,包括患者倡导者,医生,护士和其他专业人员.
- 用多轮反和评分来评估框架的重要性,相关性,可行性,技能水平,细节性和代表性.
主要成果:
- 确定了16个基本能力,并将其分类为内部,基于团队和结构领域.
- 参与者高度评价了框架的重要性和学科相关性.
- 实施的可行性被认为是可变的,受到更广泛的医疗保健系统挑战的影响. 能力需要熟练的技能水平.
- 该框架在细节化和代表性方面获得了很高的评分.
结论:
- 公平驱动的诊断卓越 (DxEqEx) 框架提供了一种积极的方法来改善历史上被边缘化的患者的诊断护理.
- 未来的研究应该优先考虑参与性和资源高效的实施策略.
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