澳大利亚非传染性疾病管理的客户偏好:一个范围审查
Aklilu Endalamaw1,2, Darsy Darssan1, Resham B Khatri1
1School of Public Health, the University of Queensland, Brisbane, Australia.
了解患者偏好是澳大利亚有效的非传染性疾病 (NCD) 护理的关键. 患者更喜欢可访问的,以社区为基础的服务,培训人员,更短的等待时间,以及参与决策.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 非传染性疾病 (NCD) 是澳大利亚的主要死亡原因.
- 有效的护理模式需要了解患者的偏好,以提高服务利用率.
- 之前的研究还没有全面综合澳大利亚NCD服务供应的客户偏好.
研究的目的:
- 审查和综合现有证据,客户偏好服务在澳大利亚NCDs的个人提供服务.
- 确定影响患者满意度和参与NCD护理的关键因素.
- 为开发以患者为中心和社区为基础的医疗保健模式提供信息.
主要方法:
- 根据PRISMA扩展指南进行范围审查.
- 包括使用专项选择实验的文章,专注于NCD患者.
- 综合使用差异化服务交付框架的发现.
主要成果:
- 患者更喜欢接受过培训的医疗保健专业人员进行样本采集和转诊.
- 在多基因癌症测试中,人们注意到对初级保健医生而不是遗传学专家的偏好.
- 患者希望安全,有效,负担得起,以社区为基础的服务,等待时间缩短,决策共享.
- 面对面的咨询是首选的特定服务,如心理健康查和癌症后续检查.
- 较少的随访预约通常是首选的,除了需要密切监测的情况.
结论:
- 调整医疗保健服务与患者偏好是提高参与度,满意度,信任度和治疗坚持度的关键.
- 实施以患者为中心,以社区为基础的模型,优先考虑可访问性,可负担性和安全性至关重要.
- 减少等待时间,提供灵活的后续时间表,并提供面对面的选择,可以显著改善NCD护理体验.
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