Holt Jeana M
University of Wisconsin-Milwaukee College of Nursing, Milwaukee, WI, USA.
Department of Family & Community Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
J Patient Exp. 2019 Jun;6(2):93-102. doi: 10.1177/2374373518793143. Epub 2018 Aug 12.
The National Academy of Medicine's (NAM) vision for 21st-century health care underscored the need for increased patient engagement and charged health-care researchers to develop tools to evaluate patient experience. The most widely studied patient experience tools are the Consumer Assessments of Healthcare Providers and Systems (CAHPS) surveys. The Clinician and Group (CG)-CAHPS survey is the preferred patient experience survey for primary care, and thus a systematic review of patient reports from the CG-CAHPS empirical literature is ideal to appreciate the voice of health-care consumers. This systematic review revealed patient subjective reports regarding the acceptability of health-care delivery models, the effectiveness of interventions, the timeliness of care in different practice climates, and their responses to quality improvement initiatives. The synthesized results inform clinicians, organizations, and the health-care system where to prioritize and how to adapt services to efficiently provide equitable care, achieving the NAM's vision for a patient-centered US health-care system.
美国国家医学院（NAM）对21世纪医疗保健的愿景强调了提高患者参与度的必要性，并责成医疗保健研究人员开发评估患者体验的工具。研究最为广泛的患者体验工具是医疗服务提供者与系统消费者评估（CAHPS）调查。临床医生与团体（CG）-CAHPS调查是初级保健中首选的患者体验调查，因此，对CG-CAHPS实证文献中的患者报告进行系统综述，有助于了解医疗保健消费者的心声。该系统综述揭示了患者关于医疗服务提供模式的可接受性、干预措施的有效性、不同执业环境下护理的及时性以及他们对质量改进举措的反应的主观报告。综合结果为临床医生、机构和医疗保健系统提供了信息，以确定优先事项以及如何调整服务，从而高效地提供公平的护理，实现NAM对以患者为中心的美国医疗保健系统的愿景。
