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以患者为中心的医疗保健方法:随机对照试验的系统评价。

Patient-centered approaches to health care: a systematic review of randomized controlled trials.

机构信息

1Griffith University, Meadowbrook, Queensland, Australia.

出版信息

Med Care Res Rev. 2013 Dec;70(6):567-96. doi: 10.1177/1077558713496318. Epub 2013 Jul 26.

Abstract

There is growing interest in patient-centered care, but there is little guidance about the interventions required for its delivery and whether it leads to better health outcomes. This systematic review evaluates the efficacy of patient-centered care interventions for people with chronic conditions. Thirty randomized controlled trials were identified from health-related databases. The findings indicated that most interventions were based on the notion of empowering care and included attempts to educate consumers or prompt them about how to manage a health consultation. Other common interventions focused on training providers in delivering empowering care. Although it was difficult to draw firm conclusions because of the moderate to high risk of bias of the research designs, this review has shown some promising findings from implementing a patient-centered care approach. There appeared to be benefits associated with this model of care in terms of patient satisfaction and perceived quality of care.

摘要

人们对以患者为中心的护理越来越感兴趣,但对于实施这种护理所需的干预措施以及它是否能带来更好的健康结果,知之甚少。本系统评价评估了以患者为中心的护理干预措施对慢性病患者的疗效。从健康相关数据库中确定了 30 项随机对照试验。研究结果表明,大多数干预措施都基于赋予护理权力的理念,包括试图教育消费者或提示他们如何管理健康咨询。其他常见的干预措施侧重于培训提供者提供赋权护理。由于研究设计的偏倚风险为中度至高度,因此很难得出确凿的结论,但本综述显示了实施以患者为中心的护理方法的一些有希望的发现。从提供以患者为中心的护理模式来看,似乎有一些好处,例如患者满意度和感知到的护理质量。

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