患者对护理计划的参与体验以及医疗保健专业人员对这种参与的看法。
Patient experiences of engagement with care plans and healthcare professionals' perceptions of that engagement.
机构信息
Chairperson of Clinical and Applied Research Department, Research Center, King Fahad Medical City, P.O. Box 59046, Riyadh, 11525, Saudi Arabia.
出版信息
BMC Health Serv Res. 2017 Dec 29;17(1):853. doi: 10.1186/s12913-017-2806-y.
BACKGROUND
Although patient engagement is internationally recognized as a core quality indicator of healthcare systems, no report has yet explored patient engagement in Saudi Arabia. Thus, we explored patients' experiences of engagement with healthcare services and assessed physicians' and nurses' perceptions of this engagement.
METHODS
We performed a cross-sectional study on patients and their family members admitted to either the rehabilitation or neurology department of King Fahad Medical City, Riyadh, Saudi Arabia. We also studied physicians and nurses involved in direct patient care in these departments. Two self-administered questionnaires were used to collect data on patients' experiences of engagement with healthcare services and physicians' and nurses' perceptions of that engagement.
RESULTS
We recruited 36 patients and 46 family members, as well as 64 nurses and 36 physicians. About 73% of patients and family members felt that doctors and nurses engaged them in decision making regarding care plans; 80% felt that they were a partners in the treatment plans. Over one-third of physicians and nurses believed that patient engagement improved healthcare outcomes, and about 7% believed that patient engagement was unimportant or not extremely important. Responses of physicians and nurses differed significantly from those of patients and family members with regards to the extent of the patient-physician/nurse relationship, the perception of involvement, and the degree of partnership and shared leadership.
CONCLUSION
We assessed patient experiences of engagement with health care service and physicians' and nurses' perceptions of that engagement. Most patients/family members reported good engagement. Although most physicians and nurses believed that patient engagement improved the healthcare outcomes, some believed that improving healthcare outcomes through patient engagement was not important or not extremely important.
背景
尽管患者参与度已在国际上被认可为医疗体系的核心质量指标，但目前尚无研究探讨沙特阿拉伯的患者参与度。因此，我们探索了患者对医疗服务的参与体验，并评估了医生和护士对这种参与的看法。
方法
我们对沙特阿拉伯利雅得法赫德国王医疗城康复科和神经科的住院患者及其家属，以及参与这些科室患者直接护理的医生和护士进行了横断面研究。我们使用两份自填式问卷收集了关于患者参与医疗服务体验以及医生和护士对这种参与的看法的数据。
结果
我们招募了 36 名患者和 46 名家属，以及 64 名护士和 36 名医生。约 73%的患者和家属认为医生和护士让他们参与了医疗计划的决策；80%的患者和家属认为他们是治疗计划的合作伙伴。超过三分之一的医生和护士认为患者参与度改善了医疗效果，约 7%的医生和护士认为患者参与度不重要或不是极其重要。医生和护士的反应与患者和家属的反应在医患关系的程度、参与感以及合作程度和共同领导地位方面存在显著差异。
结论
我们评估了患者对医疗服务的参与体验以及医生和护士对这种参与的看法。大多数患者/家属报告了良好的参与度。尽管大多数医生和护士认为患者参与度改善了医疗效果，但也有一些医生和护士认为通过患者参与度来改善医疗效果并不重要或不是极其重要。
Zotero 插件