患者导航员：描述导航员工作内容的方案制定。
Patient navigation: development of a protocol for describing what navigators do.
机构信息
Department of Health Policy and Management, Boston University School of Public Health, 715 Albany St. T3W, Boston, MA 02118-2526, USA.
出版信息
Health Serv Res. 2010 Apr;45(2):514-31. doi: 10.1111/j.1475-6773.2009.01079.x. Epub 2010 Jan 27.
OBJECTIVE
To develop a structured protocol for observing patient navigators at work, describing and characterizing specific activities related to their goals.
DATA SOURCES/SETTING: Fourteen extended observations of navigators at three programs within a national trial of patient navigation.
STUDY DESIGN
Preliminary observations were guided by a conceptual model derived from the literature and expert consensus, then coded to develop and refine observation categories. These findings were then used to develop the protocol.
METHODS
Observation fieldnotes were coded, using both a priori codes and new codes based on emergent themes. Using these codes, the team refined the model and constructed an observation tool that enables consistent categorization of the observed range of navigator actions.
FINDINGS
Navigator actions across a wide variety of settings can be categorized in a matrix with two dimensions. One dimension categorizes the individuals and organizational entities with whom the navigator interacts; the other characterizes the types of tasks carried out by the navigators in support of their patients.
CONCLUSIONS
Use of this protocol will enable researchers to systematically characterize and compare navigator activities within and across programs.
目的
制定一个用于观察患者导航员工作的结构化方案，描述并确定与他们目标相关的具体活动。
资料来源/设置：在全国范围内的患者导航试验中，对三个项目中的 14 名导航员进行了扩展观察。
研究设计
初步观察由文献和专家共识得出的概念模型指导，然后进行编码以开发和完善观察类别。这些发现随后被用于制定方案。
方法
使用先验代码和基于新出现主题的新代码对观察现场记录进行编码。使用这些代码，团队完善了模型，并构建了一个观察工具，能够对观察到的导航员各种行动进行一致的分类。
结果
在各种不同的环境中，导航员的行动可以在一个二维矩阵中进行分类。一个维度将导航员与之互动的个人和组织实体进行分类；另一个维度描述了导航员为支持他们的患者而执行的各种类型的任务。
结论
使用该方案将使研究人员能够系统地描述和比较各个项目内部和之间的导航员活动。
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