为患者参与以价值为基础的医疗保健制定实用指南:一项行动研究研究
Henrike J Westerink1,2,3, Cornelia F van Uden-Kraan2, Mirjam M Garvelink4,3
1Science department IQHealth, Radboudumc, Nijmegen, The Netherlands j.westerink@antoniusziekenhuis.nl.
BMJ open
|November 25, 2025
概括
使用行动研究改善了患者参与基于价值的医疗保健 (VBHC) 团队的情况. 制定了一份实用指南,以提高患者参与度和医疗保健成果.
科学领域:
- 医疗保健管理的管理
- 患者参与 患者参与
- 基于价值的医疗保健 (VBHC)
背景情况:
- 基于价值的医疗保健 (VBHC) 旨在通过将患者相关的结果与成本相协调来提高医疗保健价值.
- 有效的VBHC依赖于强大的患者参与,以确定关键的结果和改善领域.
- 目前患者参与VBHC计划往往是有限的,阻碍了潜在的价值增长.
研究的目的:
- 加强患者在多学科VBHC团队中的参与.
- 开发一本实用指南,以促进患者参与VBHC.
- 改善医疗保健机构患者参与的过程和影响.
主要方法:
- 从2023年3月到2024年11月,在七家荷兰医院进行了一项行动研究研究.
- 七个VBHC团队专注于不同患者群体 (例如,前列腺癌,糖尿病,产妇护理) 参与.
- 收集和三角化了定性数据 (观察,会议记录) 和定量数据 (PPEET调查).
主要成果:
- 患者参与策略有所变化,包括针对特定情况量身定制的患者小组和问卷.
- 与对照组 (44%) 相比,干预小组报告了患者参与对结果 (71%) 的重大影响.
- 确定了22个经验教训,并将其编译成VBHC患者参与的实用指南.
结论:
- 行动研究方法成功地改善了患者参与VBHC团队的过程和结果.
- 团队成员在行动研究后展示了有关患者参与的增强知识和技能.
- 开发的实用指南为实施患者参与VBHC计划提供了宝贵的资源.
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