Wensing M, Elwyn G
Centre for Quality of Care Research, University Medical Centre St Radboud, P O Box 9101, 6500 HB Nijmegen, The Netherlands.
Qual Saf Health Care. 2002 Jun;11(2):153-7. doi: 10.1136/qhc.11.2.153.
The identification of methods for assessing the views of patients on health care has only developed over the last decade or so. The use of patients' views to improve healthcare delivery requires valid and reliable measurement methods. Four approaches are recognised: inclusion of patients' views in the information to those seeking health care, identification of patient preferences in episodes of care, patient feedback on delivery of health care, and patients' views in decision making on healthcare systems. Outcome measures for the evaluation of the use of patients' views should reflect the aims in terms of processes or outcomes of care, including possible negative consequences. Rigorous methodologies for the evaluation of methods have yet to be implemented.
评估患者对医疗保健看法的方法只是在过去十年左右才得以发展。利用患者的看法来改善医疗服务提供需要有效且可靠的测量方法。目前公认有四种方法:将患者的看法纳入向寻求医疗保健者提供的信息中、在诊疗过程中确定患者的偏好、患者对医疗服务提供的反馈以及患者在医疗系统决策中的看法。用于评估患者看法使用情况的结果指标应反映在医疗过程或结果方面的目标,包括可能的负面后果。评估这些方法的严格方法尚未得到实施。