Steinsbekk Aslak, Solbjør Marit
Institutt for samfunnsmedisin, Norges teknisk-naturvitenskapelige universitet, Medisinskteknisk forskningssenter, 7489 Trondheim.
Tidsskr Nor Laegeforen. 2008 Sep 11;128(17):1944-5.
Experiences of patients and next of kin are to be given a central role in the development of health services. However, little is known about the amount and types of user involvement at the service level.
A questionnaire regarding user involvement was sent to all administrative units (i.e. one or more departments or clinics) in Central Norway Regional Health Authority (n = 63).
38/53 (72 %) administrative units reported that they had involved users in the development of their services in many different ways. There were standing user committees, user representatives in standing committees, users taking part in patient education, users who were employed by the unit, contact with user organisations and results from user surveys. Users involved in their own treatment plans and more informal contact with users were also reported as user involvement.
Health personnel reported a large variety of interactions with users. It is questionable whether all of these interactions can actually be defined as user involvement with a real impact on the development of health services at the level of hospital units.
患者及其亲属的体验在卫生服务发展中应发挥核心作用。然而,对于服务层面用户参与的数量和类型却知之甚少。
向挪威中部地区卫生局的所有行政单位(即一个或多个部门或诊所,n = 63)发送了一份关于用户参与的问卷。
53个行政单位中有38个(72%)报告称,他们以多种不同方式让用户参与了服务的开发。有常设用户委员会、常设委员会中的用户代表、参与患者教育的用户、受单位雇佣的用户、与用户组织的联系以及用户调查结果。参与自身治疗计划以及与用户进行更非正式接触的用户也被报告为用户参与。
卫生人员报告了与用户的多种互动。所有这些互动是否都能真正被定义为对医院单位层面卫生服务发展有实际影响的用户参与,这是值得怀疑的。