改善咨询期间患者体验的可操作机制:范围审查和对虚拟护理的影响
Kanesha Ward1, Ella Zurita2, Saneeya Hussain3
1Centre for Health Informatics, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Applied clinical informatics
|December 18, 2025
概括
本范围审查确定了医疗保健专业人员 (HCP) 使用的关键患者体验机制,并探索其适应虚拟护理. 调查结果指导了在混合护理模式中增强沟通和关系策略.
科学领域:
- 医疗保健提供和患者参与.
- 数字健康和远程医疗.
- 提高患者护理的质量.
背景情况:
- 医疗保健专业人员 (HCP) 使用患者体验机制来确保高质量的护理.
- 关于这些机制在研究中存在有限的综合,特别是在虚拟护理环境中.
- 了解面对面的机制转化为虚拟护理对于现代医疗保健至关重要.
研究的目的:
- 进行范围审查,确定医疗保健工作者用来在咨询期间增强患者体验的机制.
- 探索这些机制的适应,以提供有效的虚拟护理.
- 为混合护理模型提供患者体验机制的结构化映射.
主要方法:
- 一个全面的范围审查,利用叙事合成.
- 在四个主要数据库 (MEDLINE,CINAHL Complete,Cochrane Library,ProQuest) 和灰色文献中进行的搜索.
- 由三个审查员进行的独立选,以NHS患者体验框架为指导,比较了面对面和虚拟护理方面的考虑.
主要成果:
- 包括49项研究,评论和指导方针占主导地位.
- 确定了五类机制:以临床医生为中心,以患者为中心,关系/家庭,组织和IT/数字.
- 最重要的可操作机制包括患者赋权和参与,患者教育和临床组织/安全文化;虚拟护理适应侧重于沟通,数字素养和信任.
结论:
- 本综述提供了患者体验机制与虚拟护理环境的首次结构化映射.
- 研究结果支持医疗保健工作者和卫生系统完善混合护理的沟通,关系和数字战略.
- 随着医疗保健向混合模型的过渡,对患者体验机制的持续评估至关重要.
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