实施以人为中心的初级保健措施
Geoffrey Mills1, William T Leach2, Richard W Hass2
1From the Department of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA (GM, WTL, AC, AC, CC, AF); College of Population Health, Thomas Jefferson University, Philadelphia, PA, USA (RWH); Larry A. Green Center for the Advancement of Primary Health Care for the Public Good, Richmond, Virginia and Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (RE). Geoffrey.Mills@Jefferson.edu.
Journal of the American Board of Family Medicine : JABFM
|October 20, 2025
概括
在许多初级保健实践中成功实施了以人为中心的初级保健措施 (PCPCM) 调查. 需要进一步的研究来提高患者的反应率,并完善这种患者体验工具的使用.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验测量 患者体验测量
- 主要护理是指初级护理.
背景情况:
- 以人为中心的初级保健措施 (PCPCM) 评估患者与初级保健临床医生和团队的经验.
- 对于PCPCM的最佳实施策略,包括调查管理和数据利用以改进流程,仍未确定.
研究的目的:
- 评估PCPCM调查在一个大型初级保健系统的实施过程.
- 根据患者的人口统计数据评估调查完成率,心理测量特性和响应变异.
主要方法:
- 11个问题的PCPCM调查对78个初级保健诊所的329,450名患者进行了管理.
- 数据分析包括评估调查完成参数,内部一致性和与患者人口统计学相关的平均得分.
主要成果:
- 通过Press Ganey平台成功分发PCPCM调查,达到6.4%的响应率.
- 调查显示了良好的内部一致性,并倾向于获得更高的分数.
- 根据患者年龄,性别,种族,临床医师类型和患者与实践关系的持续时间,PCPCM得分有所不同. 黑人或非裔美国患者报告说,他们认为社区知识在护理中的整合程度较低.
结论:
- 在一个大型的初级保健网络中成功实施了PCPCM.
- 提高调查响应率是未来发展的关键领域.
- 进一步的工作应集中在利用PCPCM数据进行实践反和验证个别调查项目.
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