Centre for Adolescent Health, Royal Children's Hospital, Melbourne, Victoria, Australia.
J Adolesc Health. 2013 Jun;52(6):670-81. doi: 10.1016/j.jadohealth.2012.12.014.
To review the literature on young people's perspectives on health care with a view to defining domains and indicators of youth-friendly care.
Three bibliographic databases were searched to identify studies that purportedly measured young people's perspectives on health care. Each study was assessed to identify the constructs, domains, and indicators of adolescent-friendly health care.
Twenty-two studies were identified: 15 used quantitative methods, six used qualitative methods and one used mixed methodology. Eight domains stood out as central to young people's positive experience of care. These were: accessibility of health care; staff attitude; communication; medical competency; guideline-driven care; age appropriate environments; youth involvement in health care; and health outcomes. Staff attitudes, which included notions of respect and friendliness, appeared universally applicable, whereas other domains, such as an appropriate environment including cleanliness, were more specific to particular contexts.
These eight domains provide a practical framework for assessing how well services are engaging young people. Measures of youth-friendly health care should address universally applicable indicators of youth-friendly care and may benefit from additional questions that are specific to the local health setting.
回顾关于年轻人对医疗保健看法的文献，旨在确定青年友好型护理的领域和指标。
检索了三个文献数据库，以确定据称衡量年轻人对医疗保健看法的研究。对每项研究进行评估，以确定青少年友好型医疗保健的结构、领域和指标。
确定了 22 项研究：15 项使用定量方法，6 项使用定性方法，1 项使用混合方法。有 8 个领域是年轻人对护理积极体验的核心。这些领域是：医疗保健的可及性；医务人员态度；沟通；医疗能力；循证护理；适合年龄的环境；年轻人参与医疗保健；和健康结果。医务人员的态度，包括尊重和友好的概念，似乎普遍适用，而其他领域，如包括清洁度在内的适当环境，则更特定于特定的环境。
这 8 个领域为评估服务与年轻人的互动程度提供了一个实用框架。青年友好型医疗保健的衡量标准应涵盖普遍适用的青年友好型护理指标，并且可能受益于针对当地卫生环境的特定问题的额外问题。
