Research Centre for Autonomy and Participation for People with Chronic Illnesses, Zuyd University of Applied Sciences, Heerlen, the Netherlands.
Department of Family Medicine, CAPHRI School for Public health and Primary Care, Maastricht University, Maastricht, the Netherlands.
Health Expect. 2017 Aug;20(4):724-733. doi: 10.1111/hex.12511. Epub 2016 Oct 7.
The number of people with multiple chronic conditions increases as a result of ageing. To deal with the complex health-care needs of these patients, it is important that health-care professionals collaborate in interprofessional teams. To deliver patient-centred care, it is often recommended to include the patient as a member of the team.
To gain more insight into how health-care professionals and patients, who are used to participate in interprofessional team meetings, experience and organize patient participation in the team meetings.
A qualitative study including observations of meetings (n=8), followed by semi-structured interviews with participating health-care professionals (n=8), patients and/or relatives (n=11). Professionals and patients were asked about their experiences of patient participation immediately after the team meetings. Results from both observations and interviews were analysed using content analysis.
The findings show a variety of influencing factors related to patient participation that can be divided into five categories: (i) structure and task distribution, (ii) group composition, (iii) relationship between professionals and patients or relatives, (iv) patients' characteristics and (v) the purpose of the meeting.
Patient participation during team meetings was appreciated by professionals and patients. A tailored approach to patient involvement during team meetings is preferable. When considering the presence of patients in team meetings, it is recommended to pay attention to patients' willingness and ability to participate, and the necessary information shared before the meeting. Participating patients seem to appreciate support and preparation for the meeting.
随着人口老龄化,患有多种慢性疾病的人数不断增加。为了满足这些患者复杂的医疗需求,医疗保健专业人员以跨专业团队的形式进行合作非常重要。为了提供以患者为中心的护理,通常建议将患者作为团队成员之一。
深入了解习惯于参与跨专业团队会议的医疗保健专业人员和患者如何体验和组织患者在团队会议中的参与。
这是一项定性研究,包括对会议的观察(n=8),随后对参与的医疗保健专业人员(n=8)、患者和/或家属(n=11)进行半结构化访谈。在团队会议后,立即询问专业人员和患者有关患者参与的经验。使用内容分析法分析观察和访谈的结果。
研究结果显示了与患者参与相关的多种影响因素,可分为五类:(i)结构和任务分配,(ii)团队组成,(iii)专业人员与患者或家属之间的关系,(iv)患者的特征,以及(v)会议的目的。
专业人员和患者都对团队会议中的患者参与表示赞赏。在团队会议中采用量身定制的方法来参与患者更可取。在考虑患者是否参加团队会议时,建议关注患者参与的意愿和能力,以及会议前共享的必要信息。参与的患者似乎很欣赏会议的支持和准备。