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参与医疗流行病学研究的患者:一个案例。

Engaging patients in health care epidemiology research: A case example.

机构信息

Department of Medicine, Division of Infectious Disease, University of Wisconsin School of Medicine & Public Health, Madison, WI.

Department of Medicine, William S. Middleton Memorial Veterans Hospital, Madison, WI.

出版信息

Am J Infect Control. 2019 Feb;47(2):139-143. doi: 10.1016/j.ajic.2018.08.013. Epub 2018 Oct 10.

Abstract

BACKGROUND

We describe stakeholder engagement from a Patient-Centered Outcomes Research Institute-funded project to identify patients' research priorities for health care-associated infections (HAI). We summarize insights from these activities to highlight feasibility and benefits of stakeholder engagement in health care epidemiology research.Patients and caregivers who had an HAI experience were involved in a patient and caregiver stakeholder group. We engaged clinicians, infection prevention experts, state public health professionals, and quality improvement experts in an institutional stakeholder (IS) group in an academic tertiary care medical center.

METHODS

Through individual and combined group activities, we identified stakeholders' HAI research priorities. Existing engagement resources from the Wisconsin Network for Research Support (WINRS) guided the process.

RESULTS

Given the patients' and caregivers' experiences with HAIs, their perspectives broadened IS understanding of the impact of HAIs and the relevance of proposed research topics. After introductory activities described here, the patient and caregiver stakeholder group actively engaged with researchers and the IS group in discussing complex systems-level topics to reduce HAIs. We have sustained this engagement through continued collaboration.

CONCLUSIONS

Our engagement experience provides one example of how patients can be engaged in health care epidemiology research. Our experiences and lessons learned may be helpful to others interested in stakeholder engagement.

摘要

背景

我们描述了一个由患者中心的研究机构资助的项目中的利益相关者参与情况,该项目旨在确定患者对医疗保健相关感染(HAI)的研究重点。我们总结了这些活动的见解,以突出利益相关者在医疗保健流行病学研究中的参与的可行性和益处。有 HAI 经历的患者和护理人员参与了患者和护理人员利益相关者小组。我们让临床医生、感染预防专家、州公共卫生专业人员和质量改进专家在学术三级保健医疗中心的机构利益相关者(IS)小组中参与。

方法

通过个人和联合小组活动,我们确定了利益相关者的 HAI 研究重点。威斯康星州研究支持网络(WINRS)的现有参与资源指导了这一过程。

结果

鉴于患者和护理人员的 HAI 经历,他们的观点拓宽了 IS 对 HAI 影响和拟议研究主题相关性的理解。在描述了这里的介绍性活动之后,患者和护理人员利益相关者小组积极与研究人员和 IS 小组讨论了复杂的系统层面的主题,以减少 HAI。我们通过持续合作维持了这种参与。

结论

我们的参与经验提供了一个如何让患者参与医疗保健流行病学研究的例子。我们的经验和教训可能对其他有兴趣参与利益相关者的人有帮助。

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