Stein K V, Dorner T E, Rieder A
Institut für Sozialmedizin, Zentrum für Public Health, Medizinische Universität Wien, Österreich.
Gesundheitswesen. 2012 Apr;74(4):250-6. doi: 10.1055/s-0030-1268449. Epub 2011 Mar 11.
The provision of adequate care for patients with chronic conditions necessitates the knowledge of their perspectives and opinions in order to plan and deliver health services appropriately. The aim of the initiative "Austrian Patients Report" is to collect information on the expectations and requirements of Austrian chronic care patients towards the Austrian health-care system and its actors.
The basis of the "Austrian Patients Report" is an anonymous, structured paper and pencil questionnaire which is adapted to the specific requirements of the chronic condition with the help of patient focus groups. The questionnaire is distributed to the patients via self-help groups, doctor's offices and outpatient centres.
The results clearly indicate that patients expect not only the provision of medical and medicinal care from their doctors, they also value a comprehensive consultation with their doctors, information on different treatment options and a good cooperation between specialists and primary care doctors as highly important. Another important aspect is the respect and understanding of the society concerning the problems which arise from living with a chronic condition.
The "Austrian Patients Report" provides an opportunity to look at aspects of health-care provision from the patient's perspective. The standardisation of the method makes comparisons between patient groups with different chronic conditions possible. This in turn, gives insights into those areas of service provision where improvements need to be made and what is especially important from the patient's view.
为慢性病患者提供充分的护理需要了解他们的观点和意见,以便适当地规划和提供医疗服务。“奥地利患者报告”倡议的目的是收集奥地利慢性病患者对奥地利医疗保健系统及其参与者的期望和要求的信息。
“奥地利患者报告”基于一份匿名的、结构化的纸笔问卷,该问卷在患者焦点小组的帮助下根据慢性病的具体要求进行了调整。问卷通过自助团体、医生办公室和门诊中心分发给患者。
结果清楚地表明,患者不仅期望医生提供医疗和药物护理,他们还高度重视与医生进行全面的咨询、了解不同的治疗选择以及专科医生和初级保健医生之间的良好合作。另一个重要方面是社会对慢性病患者所面临问题的尊重和理解。
“奥地利患者报告”提供了一个从患者角度审视医疗保健提供方面的机会。该方法的标准化使得对不同慢性病患者群体进行比较成为可能。这反过来又能洞察那些需要改进服务的领域以及从患者角度来看特别重要的方面。