继续前进,而让病人留在后面? 一个多层次的评估框架,用于评估以患者为中心的综合护理质量
Sonja Cassidy1,2, Ove Lintvedt3,4, Francis Odeh5,6
1Department of Strategic ICT, Western Norway Regional Health (Helse Vest IKT), Bergen, Norway. sonja.cassidy@helse-vest-ikt.no.
概括
当前的护理评估往往忽视了患者的优先事项. 这项研究提出了患者报告的综合措施 (PRIMs),以使评估与患者目标保持一致,确保更好的综合护理,降低患者落后的风险.
科学领域:
- 医疗保健质量评估 医疗保健质量评估
- 患者为中心的护理研究研究.
- 综合护理框架 综合护理框架
背景情况:
- 现有的护理评估框架往往优先考虑临床和组织结果,而不是患者的观点.
- 人们认识到有必要弥合系统性评估实践与个体患者福祉之间的差距,特别是对于那些有复杂需求的人来说.
研究的目的:
- 发现当前以患者为中心的评估方法中的差距.
- 制定一个与患者定义的优先事项一致的质量评估多层次框架.
- 在政策,组织和个人层面整合患者的观点.
主要方法:
- 主要是定性设计.
- 对以患者为中心的综合护理评估研究的文献综述.
- 纵向案例研究,检查跨健康信息系统的患者视角文档.
主要成果:
- 在系统评估和患者定义的结果之间发现了不一致,特别是在复杂的患者群体中.
- 发现患者参与制定评估标准的比例很低,这表明政策与患者福祉之间存在分歧.
- 案例研究显示,个人目标和非临床需求往往没有被记录,突出了真正以患者为中心的护理方面的差距.
结论:
- 综合护理质量评估与患者定义的结果不一致.
- 建议患者报告的综合措施 (PRIMs) 来捕捉多维患者评估的结果.
- 倡导将PRIM整合到健康信息系统和研究中,以使护理评估与患者优先事项保持一致.
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