Schlaudecker Jeffrey D, Goodnow Keesha, Goroncy Anna, Hartmann Reid, Regan Saundra, Rich Megan, Butler Adam, White Christopher
Research Division, Department of Family and Community Medicine, University of Cincinnati, Cincinnati, OH, United States.
The Christ Hospital/University of Cincinnati Family Medicine Residency Program, Department of Family and Community Medicine, University of Cincinnati, Cincinnati, OH, United States.
J Particip Med. 2019 Mar 20;11(1):e12105. doi: 10.2196/12105.
Partnering with patients and families is a crucial step in optimizing health. A patient and family advisory council (PFAC) is a group of patients and family members working together collaboratively with providers and staff to improve health care.
This study aimed to describe the creation of a PFAC within a family medicine residency clinic. To understand the successful development of a PFAC, challenges, potential barriers, and positive outcomes of a meaningful partnership will be reported.
The stages of PFAC development include leadership team formation and initial training, PFAC member recruitment, and meeting launch. Following a description of each stage, outcomes are outlined and lessons learned are discussed. PFAC members completed an open-ended survey and participated in a focus group interview at the completion of the first year. Interviewees provided feedback regarding (1) favorite aspects or experiences, (2) PFAC impact on a family medicine clinic, and (3) future projects to improve care. Common themes will be presented.
The composition of the PFAC consisted of 18 advisors, including 8 patient and family advisors, 4 staff advisors, 4 resident physician advisors, and 2 faculty physician advisors. The average meeting attendance was 12 members over 11 meetings in the span of the first year. A total of 13 out of 13 (100%) surveyed participants were satisfied with their experience serving on the PFAC.
PFACs provide a platform for patient engagement and an opportunity to drive home key concepts around collaboration within a residency training program. A framework for the creation of a PFAC, along with lessons learned, can be utilized to advise other residency programs in developing and evaluating meaningful PFACs.
与患者及其家属合作是优化健康状况的关键一步。患者及家属咨询委员会（PFAC）是由患者和家属组成的团体，他们与医疗服务提供者和工作人员共同协作，以改善医疗保健。
本研究旨在描述在一家家庭医学住院医师诊所内创建PFAC的过程。为了解PFAC的成功发展情况，将报告其面临的挑战、潜在障碍以及有意义的合作所带来的积极成果。
PFAC的发展阶段包括领导团队组建和初始培训、PFAC成员招募以及会议启动。在描述每个阶段之后，概述成果并讨论经验教训。PFAC成员在第一年结束时完成了一项开放式调查，并参加了焦点小组访谈。受访者就以下方面提供了反馈：（1）最喜欢的方面或经历；（2）PFAC对家庭医学诊所的影响；（3）改善护理的未来项目。将呈现共同主题。
PFAC的组成包括18名顾问，其中有8名患者及家属顾问、4名工作人员顾问、4名住院医师顾问和2名教员医师顾问。在第一年期间，11次会议的平均参会人数为12人。在接受调查的13名参与者中，有13人（100%）对其在PFAC的服务经历感到满意。
PFAC为患者参与提供了一个平台，并有机会在住院医师培训项目中深入探讨合作的关键概念。创建PFAC的框架以及经验教训可用于为其他住院医师项目提供建议，以开发和评估有意义的PFAC。
