患者价值观和偏好意味着什么？基于对定性论文系统评价的分类法。

What do patient values and preferences mean? A taxonomy based on a systematic review of qualitative papers.

作者信息

Bastemeijer Carla M, Voogt Lennard, van Ewijk Johannes P, Hazelzet Jan A

机构信息

Department of Normative Professionalization, University of Humanistic Studies, Utrecht, The Netherlands.

Department of Physical Therapy Studies, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.

出版信息

Patient Educ Couns. 2017 May;100(5):871-881. doi: 10.1016/j.pec.2016.12.019. Epub 2016 Dec 24.

DOI:10.1016/j.pec.2016.12.019

PMID:28043713

Abstract

OBJECTIVE

In order to deliver good healthcare quality, it should explicitly be taken into account what patients value in healthcare. This study reviews qualitative studies in which patients express what they value. Based on this body of literature a preliminary taxonomy is designed.

METHODS

A systematic review of qualitative papers on what patients' value.

RESULTS

22 studies out of a total of 3259 met the inclusion criteria. After critical appraisal, data extraction was carried out by two researchers independently and revealed values related to 1) the individual patient; 2) the expected behavior of professionals and 3) the interaction between patients and professionals. Seven key elements were recognized on the bases of content analysis; 1) uniqueness, 2) autonomy, 3) compassion, 4) professionalism, 5) responsiveness, 6) partnership and 7) empowerment.

CONCLUSION

This study gives a rich insight into what patients value in various contexts and provides a promising taxonomy in line with patient centered based theories. The taxonomy needs further empirical research for a deeper insight and clarifaction in its elements.

PRACTICE IMPLICATIONS

This review and preliminary taxonomy contribute to the conceptualization of patient values as a bases for guidelines, policy and daily practice.

摘要

目的

为了提供优质的医疗服务，应明确考虑患者在医疗保健中所重视的内容。本研究回顾了患者表达其所重视内容的定性研究。基于这一文献体系设计了一个初步的分类法。

方法

对关于患者重视内容的定性论文进行系统综述。

结果

在总共3259项研究中，有22项符合纳入标准。经过严格评估后，由两名研究人员独立进行数据提取，结果显示这些价值与以下三个方面相关：1）个体患者；2）专业人员的预期行为；3）患者与专业人员之间的互动。基于内容分析确定了七个关键要素：1）独特性；2）自主性；3）同情心；4）专业性；5）响应性；6）伙伴关系；7）赋权。