经济合作组织和发展国家的患者报告结果措施的全系统使用:来自卫生政策调查和关键信息员研讨会的见解
Candan Kendir1, Ana Sofia V Carvalho2, Sophie Tran3
1Directorate for Employment, Labour and Social Affairs, Organisation for Economic Co-Operation and Development (OECD), Paris, France; Amsterdam UMC location University of Amsterdam, Public and Occupational Health, Amsterdam, The Netherlands.
在21个经合组织国家,患者报告结果指标 (PROM) 主要用于质量改进. 全系统实施面临诸如有限的人员和技术等障碍,需要更好的资源配置和数据集成.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 以患者为中心的护理
背景情况:
- 患者报告结果指标 (PROM) 对于将患者的观点纳入医疗保健至关重要.
- 基于价值和以人为中心的医疗保健模式越来越依赖于系统的PROM数据收集.
研究的目的:
- 评估经合组织国家目前对PROM的系统使用情况.
- 从决策者的角度来看,从决策者的角度来看,确定系统性PROM实施的障碍和推动者.
主要方法:
- 在38个经合组织国家的官员中进行了跨部门国家级调查.
- 使用i-PARIHS框架分析了实施障碍和推动因素.
- 调查结果通过与关键信息提供者的在线研讨会来验证.
主要成果:
- 在38个被调查国家中,在21个国家确定了44个PROM计划,主要用于质量改善 (95%) 和保证 (55%).
- 医疗保健专业人员 (93%) 和患者 (81%) 参与,在线完成是常见的 (73%),但电子健康记录的整合是有限的 (39%).
- 关键障碍包括有限的人员,技术挑战以及患者和专业人员的培训不足.
结论:
- 通过改善资源配置,可以推进全系统PROM的实施.
- 有意义的利益相关者参与和将PROM嵌入数据基础设施是必不可少的.
- 解决发现的障碍对于更广泛的采用和影响至关重要.
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