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炎症性肠病患者小组:对由英国克罗恩病与结肠炎协会发起并支持的炎症性肠病患者参与项目三个发展阶段的个人反思。

IBD patient panels: a personal reflection on three stages of development of an IBD Patient Involvement Project, initiated and supported by Crohn's and Colitis UK.

作者信息

Canham Peter

出版信息

Frontline Gastroenterol. 2010 Oct;1(3):e1. doi: 10.1136/fg.2009.000349. Epub 2011 Jan 11.

Abstract

Crohn's and Colitis UK (formerly The National Association for Colitis and Crohn's Disease) first established a pilot of six inflammatory bowel disease (IBD) patient panels in 2005. There are now 20. Crohn's and Colitis UK offers a framework within which panels can function although there is built in flexibility to suit local circumstances. Patient panels are most effective when they work in partnership with their local NHS professionals. Their uniqueness in the patient and public involvement field lies in their being a disease specific patient group with a focus on their own local IBD services. Panel members are able to speak with the authority of personal experience and with the benefit of assimilated knowledge. A patient panel influences patient care by: (1) providing feedback on current service provision; (2) being a sounding board for departmental developments; (3) initiating suggestions for future developments; and (4) giving support to proposals for departmental developments (perhaps by using the IBD Standards as a benchmark). Most IBD patient panels are self supporting. Some receive assistance from their IBD department. Nationally, Crohn's and Colitis UK provides support through their patient involvement adviser and a patient panel page on their website. Some training and networking is also offered. From the appointment of IBD nurses to changing the way local services are delivered, they have been instrumental in bringing about improvements to IBD services across the country.

摘要

英国克罗恩病与结肠炎协会(前身为全国结肠炎与克罗恩病协会)于2005年首次设立了由六个炎症性肠病(IBD)患者小组组成的试点项目。如今已有20个这样的小组。英国克罗恩病与结肠炎协会提供了一个框架,各小组可在其中发挥作用,不过也具备根据当地情况灵活调整的机制。患者小组在与当地国民保健服务体系(NHS)专业人员合作时最为有效。它们在患者及公众参与领域的独特之处在于,它们是专注于自身当地IBD服务的特定疾病患者群体。小组成员能够凭借个人经验的权威性以及所积累知识的优势发言。患者小组通过以下方式影响患者护理:(1)对当前服务提供情况提供反馈;(2)作为部门发展的咨询对象;(3)提出未来发展的建议;(4)支持部门发展的提议(或许以IBD标准为基准)。大多数IBD患者小组都是自我维持的。有些小组会得到其IBD科室的协助。在全国范围内,英国克罗恩病与结肠炎协会通过其患者参与顾问以及网站上的患者小组页面提供支持。还会提供一些培训和交流机会。从IBD护士的任命到改变当地服务的提供方式,它们在推动全国IBD服务的改善方面发挥了重要作用。

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