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将研究转化为实践:一家德国疾病基金支持患者参与。

Translating research into practice: a German sickness fund supporting patient participation.

作者信息

Straub C, Nebling T, Müller H

机构信息

Deputy chairman of the board, Techniker Krankenkasse, Hamburg, Germany.

出版信息

Patient Educ Couns. 2008 Dec;73(3):544-50. doi: 10.1016/j.pec.2008.07.019. Epub 2008 Aug 20.

Abstract

OBJECTIVE

To demonstrate how a German sickness fund like the Techniker Krankenkasse (TK) tries to translate evidence from research in the field of shared decision-making (SDM) into practice.

METHODS

This article outlines three different initiatives of the TK, supporting patient participation in every day life: information tools, continuous interactive case management, and web-based interactive patient dialogue. These three activities are supposed to show a stepwise development- and introduction-process which is designed to include patient feedback at all stages of progress. Wherever available, empirical data is added to the description of the initiatives. This data contains information about how many people use a special service offered and how useful or satisfying the service is in the users' eyes.

RESULTS

The examples given show that a single sickness fund is able to support patient participation with different kinds of initiatives.

CONCLUSION

Implementation of SDM will be beneficial for the statutory health insurance and will have a positive influence on political and professional decision processes.

PRACTICE IMPLICATIONS

The TK will continue and intensify its engagement for SDM in the future.

摘要

目的

展示像技术人员健康保险基金(TK)这样的德国疾病基金如何尝试将共享决策(SDM)领域的研究证据转化为实践。

方法

本文概述了TK的三项不同举措,支持患者在日常生活中的参与:信息工具、持续互动式病例管理以及基于网络的互动式患者对话。这三项活动旨在展示一个逐步发展和引入的过程,该过程在进展的各个阶段都纳入了患者反馈。只要有可用的经验数据,就会添加到举措的描述中。这些数据包含有关有多少人使用所提供的特殊服务以及该服务在用户眼中有多有用或多令人满意的信息。

结果

所举例子表明,单个疾病基金能够通过不同类型的举措支持患者参与。

结论

实施共享决策将有利于法定健康保险,并将对政治和专业决策过程产生积极影响。

实践意义

TK未来将继续并加强其在共享决策方面的参与。

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