实施评估和研究的翻译框架:以患者为中心的公平设计的批判性方法
Carl R May1, Alyson Hillis2, Katja Gravenhorst2
1Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK. Carl.May@lshtm.ac.uk.
Implementation science communications
|November 5, 2025
概括
本研究介绍了以患者为中心的公平设计,这是一种创造公平医疗干预措施的新方法. 它使用一个框架和原则来解决差异,并在医疗服务设计中集中患者的体验.
科学领域:
- 实施科学 实施科学
- 健康 公平 研究 健康 公平 研究
- 医疗保健中的社会学
背景情况:
- 在实施研究中,人们对健康公平的兴趣越来越大.
- 识别影响医疗保健差异的宏观层面过程.
- 需要以正义为导向的方法来解决以患者为中心和不平等的问题.
研究的目的:
- 为设计复杂的医疗保健干预措施制定以患者为中心和以正义为基础的方法.
- 创新医疗保健服务提供,重点关注公平.
主要方法:
- 在五个阶段开发了以患者为中心的股权设计.
- 综合了社会学,公共卫生和实施科学的理论.
- 创建了一个决定性框架,过程模型,生成原则和关键设计问题.
主要成果:
- 一个决定性的框架,将宏观,中级和微级的医疗保健不平等联系在一起.
- 公平,以患者为中心的干预措施的生成原则 (例如,培养礼貌,减少复杂性).
- 评估医疗干预和服务中的不平等问题的关键问题.
结论:
- 以患者为中心的公平设计整合了多个学科,以专注于医疗保健干预措施中的公平.
- 提供框架,模型,原则和问题,以指导干预设计和服务提供.
- 提供可行的原则,以集中患者和护理人员的经验,并解决不平等问题.
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