Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Institute of Health Economics, Edmonton, Alberta, Canada.
BMJ Open. 2017 Jan 5;7(1):e013632. doi: 10.1136/bmjopen-2016-013632.
The concept of patient-centred care (PCC) is changing the way healthcare is understood, accepted and delivered. The Institute of Medicine has defined PCC as 1 of its 6 aims to improve healthcare quality. However, in Canada, there are currently no nationwide standards in place for measuring and evaluating healthcare from a patient-centred approach. In this paper, we outline our scoping review protocol to systematically review published and unpublished literature specific to patient-centred quality indicators that have been implemented and evaluated across various care settings.
Arksey and O'Malley's scoping review methodology framework will guide the conduct of this scoping review. We will search electronic databases (MEDLINE, EMBASE, the Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Social Work Abstracts, Social Services Abstracts), grey literature sources and the reference lists of key studies to identify studies appropriate for inclusion. 2 reviewers will independently screen all abstracts and full-text studies for inclusion. We will include any study which focuses on quality indicators in the context of PCC. All bibliographic data, study characteristics and indicators will be collected and analysed using a tool developed through an iterative process by the research team. Indicators will be classified according to a predefined conceptual framework and categorised and described using qualitative content analysis.
The scoping review will synthesise patient-centred quality indicators and their characteristics as described in the literature. This review will be the first step to formally identify what quality indicators have been used to evaluate PCC across the healthcare continuum, and will be used to inform a stakeholder consensus process exploring the development of a generic set of patient-centred quality indicators applicable to multiple care settings. The results will be disseminated through a peer-reviewed publication, conference presentations and a one-day stakeholder meeting.
以患者为中心的护理（PCC）的概念正在改变人们对医疗保健的理解、接受和提供方式。美国医学研究所已将 PCC 定义为改善医疗保健质量的 6 大目标之一。然而，在加拿大，目前还没有全国性的标准来衡量和评估从以患者为中心的角度提供的医疗保健。在本文中，我们概述了我们的范围综述方案，以系统地综述已在各种护理环境中实施和评估的以患者为中心的质量指标的已发表和未发表文献。
阿特赛和奥马利的范围综述方法框架将指导本范围综述的进行。我们将搜索电子数据库（MEDLINE、EMBASE、Cochrane 图书馆、护理学和联合健康文献累积索引（CINAHL）、心理信息数据库、社会工作摘要、社会服务摘要）、灰色文献来源和关键研究的参考文献，以确定适合纳入的研究。2 名审查员将独立筛选所有摘要和全文研究以确定纳入。我们将包括任何关注以患者为中心的护理背景下的质量指标的研究。所有书目数据、研究特征和指标将使用研究团队通过迭代过程开发的工具进行收集和分析。指标将根据预定义的概念框架进行分类，并使用定性内容分析进行分类和描述。
范围综述将综合以患者为中心的质量指标及其在文献中的特征。这一综述将是正式确定已用于评估整个医疗保健连续体中以患者为中心的护理的质量指标的第一步，并将用于为利益相关者共识过程提供信息，该过程旨在探索制定一套适用于多个护理环境的通用以患者为中心的质量指标。结果将通过同行评议的出版物、会议演讲和为期一天的利益相关者会议传播。
