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[共享医疗预约:患者及护理人员的经历]

[Shared Medical Appointments: experiences of patients and care givers].

作者信息

Zantinge Else M, Seesing Femke M, Tol Frank E, Raats C J Ilse, Spreeuwenberg Peter M M, van Dulmen A M Sandra

机构信息

Nederlands Instituut voor onderzoek van de gezondheidszorg (NIVEL), Utrecht, The Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2009;153:A828.

PMID:20003558
Abstract

OBJECTIVE

To examine the characteristics of patients participating in a shared medical appointment (SMA); to what extent SMAs fulfil patients' needs; to evaluate if patients are better informed after an SMA and how they evaluate meeting other patients at an SMA, and how health professionals experience SMAs.

DESIGN

Descriptive.

METHOD

Fourteen multidisciplinary teams participated in the study. The Dutch Institute for Healthcare Improvement (CBO) trained them in how to conduct an SMA. The experiences of patients participating in an SMA were compared with the experiences of patients who visited the doctor individually. Patients completed questionnaires before and after the SMA (n = 83) or the individual visit (n = 158).

RESULTS

Patients who participated in an SMA did not differ significantly from the regular patient population in either demographic characteristics or in their experience of health and care uptake. Patients participated in an SMA primarily to share experiences with fellow patients, to learn from others and to obtain more information. Both patients and health professionals (n = 53) reported that patients received more information during an SMA. Patients valued the contact with their fellow patients. SMA offered care givers a different experience and opportunities to learn.

CONCLUSION

For patients and health professionals, SMAs seem indeed to have added value. More research is needed to understand the working mechanism and the long-term effects of participation in SMAs.

摘要

目的

研究参与共享医疗预约(SMA)的患者特征;SMA在多大程度上满足患者需求;评估患者在SMA后是否获得了更多信息,以及他们如何评价在SMA中与其他患者会面的经历,以及医疗专业人员对SMA的体验。

设计

描述性研究。

方法

14个多学科团队参与了该研究。荷兰医疗保健改进研究所(CBO)对他们进行了如何开展SMA的培训。将参与SMA的患者的经历与单独看医生的患者的经历进行比较。患者在SMA(n = 83)或单独就诊(n = 158)前后完成问卷调查。

结果

参与SMA的患者在人口统计学特征或健康及医疗获取体验方面与普通患者群体没有显著差异。患者参与SMA主要是为了与其他患者分享经验、向他人学习并获取更多信息。患者和医疗专业人员(n = 53)均报告称,患者在SMA期间获得了更多信息。患者重视与其他患者的接触。SMA为护理人员提供了不同的体验和学习机会。

结论

对于患者和医疗专业人员而言,SMA似乎确实具有附加价值。需要更多研究来了解参与SMA的工作机制和长期影响。

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