用于评估患者在监狱中的医疗保健服务体验的方法和工具:范围审查
Katherine E McLeod1, Amie Hilditch1, Amanda Butler2
1Department of Family Medicine, McMaster University, 100 Main Street West Hamilton, Ontario, Canada.
需要有效的工具来衡量患者在惩戒医疗保健中的经验. 目前的措施缺乏对自主,尊重和关系关怀的关注,阻碍了质量改进.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 惩戒医疗保健 惩戒医疗保健 惩戒医疗保健
- 患者体验测量 患者体验测量
背景情况:
- 患者体验对于医疗保健质量和结果至关重要.
- 惩戒医疗受到安全和不确定的逗留时间的影响.
- 本综述绘制了有关惩戒机构患者体验的文献.
研究的目的:
- 绘制有关在惩戒设施中患者体验的现有文献的地图.
- 识别监禁人员医疗保健经验测量的知识差距.
- 为实施和增强监禁患者体验措施的努力提供信息.
主要方法:
- 对健康科学数据库和灰色文献进行范围审查.
- 包括那些被监禁的个人报告了医疗保健经验的研究.
- 评估了患者体验指标与Picker原则的一致性.
主要成果:
- 包括44篇报道了42项研究的文章.
- 调查 (52%) 和定性方法 (43%) 是常见的;没有经过验证的校正调查.
- 在衡量自主,尊重,同情和家庭参与方面存在差距; 地理和报告问题.
结论:
- 需要有效的,特定于环境的工具来改善医疗保健患者的体验.
- 措施应针对自主,尊重和关系关怀.
- 解决差距将改善以人为中心,公平的护理和惩戒机构的问责制.
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