一个群体概念映射研究,以定义人性化医疗保健.
Sean Tackett1, Gayle Adams2, Belinda Chen3
1Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA.
人性化医疗保健需要系统性改进,专注于患者和工人的需求. 一项概念映射研究确定了八个关键领域,包括沟通,文化和以患者为中心的护理,以指导这些改进.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
- 改善医疗保健系统的改善
背景情况:
- 医疗保健基本上是关于人类经验,但当前的系统往往无法满足患者和医疗保健工作者的需求.
- 需要对人性化的医疗保健进行系统的定义,以指导有针对性的改进.
- 了解不同的观点对于开发有效的人性化策略至关重要.
研究的目的:
- 系统地定义人性化的医疗保健.
- 引导系统改进,以更好地满足患者和医疗保健工作者的需求.
- 制定一个框架,以提高医疗保健机构的人类体验.
主要方法:
- 在一个大型的学术卫生系统中进行了组概念绘制.
- 参与者 (患者,护理人员,医生,医疗保健专业人员,教育工作者,研究人员) 进行了头脑风暴,思考如何使医疗保健体验变得人性化.
- 综合的想法被参与者分类,集群分析生成了一个概念地图,包含八个域和32个子域.
主要成果:
- 63名参与者代表了患者和专业人士的不同观点.
- 最终的概念地图确定了八个关键领域:有效的沟通,医疗保健工作者态度,医疗保健文化,医疗保健工作者社区,机构政策和医疗保健价值,物理和数字系统以及获得护理,患者的时间和注意力,以及嵌入患者的观点.
- 这些领域为理解和实施人性化的医疗保健实践提供了全面的框架.
结论:
- 人性化医疗保健对于积极的患者和员工体验至关重要.
- 生成的概念地图为干预和措施提供了一个结构化的方法,以使医疗保健更加人性化.
- 这一框架可以指导医疗保健系统优先考虑和实施以患者为中心和以人为本的改进.
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