患者参与小组的覆盖范围和质量. 护理质量委员会的混合方法分析报告
Emily Jane Boam1,2, Luke Munford3, Claire Planner3
1The University of Manchester, Centre for Primary Care and Health Services Research, Manchester, United Kingdom of Great Britain and Northern Ireland emily.boam@manchester.ac.uk.
概括
在更贫困地区的实践中,患者参与小组 (PPG) 较少,这可能会加剧健康不平等. 这些小组对于患者参与和提高一般实践质量至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级保健管理管理初级保健管理
- 患者参与策略 患者参与策略
背景情况:
- 全球患者参与卫生系统的增加.
- 自2015年以来,在英语通用实践中强制建立患者参与小组 (PPG).
- 对目前的PPG覆盖范围和分发模式的理解有限.
研究的目的:
- 研究PPG覆盖率和质量与一般实践剥夺水平,地理位置和护理质量委员会 (CQC) 评级之间的相关性.
- 分析社会经济因素与PPG的存在和质量之间的关系.
- 识别PPG在不同实践特征的实施中的差异.
主要方法:
- 混合方法的文档分析,使用来自英国约克郡和汉伯的一般实践CQC报告的定量和定性数据.
- 从CQC报告中提取三个综合护理系统 (ICS) 中最贫困和最贫困地区的实践数据.
- 根据剥夺分数,位置和CQC评级对PPG覆盖率进行定量检查,并对PPG质量进行定性主题分析.
主要成果:
- 在122家诊所中,81.1%有PPG,13.1%没有PPG,5.7%有部分PPG.
- 在最贫困地区的实践中,与最贫困地区的实践相比,PPG的可能性明显低 (p = 0.006).
- 根据CQC评级,没有发现PPG覆盖范围的显著变化,在ICS地点之间观察到微小的差异. PPG的活动多样化,包括劳动力调整,基础设施,通信,可访问性,健康促进和筹款.
结论:
- 在最贫困地区的一般做法显示,PPG覆盖率明显较低.
- 贫困地区的PPG与贫困地区的PPG相比,从事不同的活动.
- 这种差异可能会加剧健康不平等,因为PPG是患者参与的关键机制,提高一般实践质量和患者体验.
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