Coad Jane E, Shaw Karen L
University of West of England, Centre for Child and Adolescent Health, Bristol, UK.
J Adv Nurs. 2008 Nov;64(4):318-27. doi: 10.1111/j.1365-2648.2008.04801.x.
This paper is a report of a scoping review examining children and young people's health services with respect to choice in order to inform future development of choice initiatives.
The importance of including children and young people in the choice agenda reflects the increasing acknowledgement that, individually and collectively, they are important consumers of health care in their own right. Data sources. A scoping review of all major health and medical research databases was undertaken using current guidelines to identify original relevant research papers and grey literature sources from 1990 to 2006.
Reference Manager software was used to collate, summarize, categorize, store and retrieve the search results. Papers meeting the inclusion criteria were read in full and descriptively summarized using a data extraction sheet. Each paper was repeatedly selected using a snowballing approach until saturation was reached. Results. Children and young people want more say in the planning and development of appropriate hospital and community health services. However, little evaluative research was found about whether these choices are acted upon and lead to more responsive services.
Choice for children and young people is viewed as a positive development in health care and many innovative examples of their involvement in decision-making were found. These illustrated that, given the opportunity, children and young people are willing and able to make decisions about their healthcare services. However, there is a long way to go before the rhetoric of the choice agenda is realized.
本文是一项范围综述的报告，该综述考察了儿童和青少年在健康服务方面的选择权，以便为未来选择权倡议的发展提供信息。
让儿童和青少年参与选择权议程的重要性反映出，人们越来越认识到，无论作为个体还是群体，他们本身都是重要的医疗保健消费者。数据来源。按照当前指南，对所有主要的健康和医学研究数据库进行了范围综述，以识别1990年至2006年的原始相关研究论文和灰色文献来源。
使用文献管理软件对检索结果进行整理、总结、分类、存储和检索。符合纳入标准的论文全文阅读，并使用数据提取表进行描述性总结。采用滚雪球法反复筛选每篇论文，直至达到饱和状态。结果。儿童和青少年希望在适当的医院和社区健康服务的规划和发展中有更多发言权。然而，关于这些选择是否得到落实并带来更具响应性的服务，几乎没有评估性研究。
儿童和青少年的选择权被视为医疗保健领域的一项积极发展，并且发现了许多他们参与决策的创新实例。这些实例表明，只要有机会，儿童和青少年愿意并能够就其医疗保健服务做出决策。然而，要实现选择权议程的目标还有很长的路要走。
