Kennedy E D, McKenzie M, Schmocker S, Jeffs L, Cusimano M D, Pooni A, Nenshi R, Scheer A S, Forbes T L, McLeod R S
Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Division of General Surgery, Department of Surgery, Mount Sinai Hospital, Toronto, Ontario, Canada.
Br J Surg. 2021 Apr 30;108(4):435-440. doi: 10.1093/bjs/znaa087.
Patient engagement is the establishment of active partnerships between patients, families, and health professionals to improve healthcare delivery. The objective of this project was to conduct a series of patient engagement workshops to identify areas to improve the surgical experience and develop strategies to address areas identified as high priority.
Faculty surgeons and patients were invited to participate in three in-person meetings. Evaluation included identifying and developing strategies for three priority areas to improve the surgical experience and level of engagement achieved at each meeting.
Sixteen faculty surgeons and 32 patients participated. Some 63 themes to improve the surgical experience were identified; the three highest-priority themes were physician communication, discharge process, and expectations at home after discharge. Individual improvement strategies for these three prioritized themes (12, 36 and 6 respectively) were used to develop a formal strategic plan, and included a physician communication survey, discharge process worksheet and video, and guideline regarding what to expect at home after discharge. Overall, the level of engagement achieved was considered high by over 85 per cent of the participants.
A high level of patient engagement was achieved. Priorities were identified with patients and surgeons to improve surgical experience, and strategies were developed to address these areas.
患者参与是指在患者、家庭和医疗专业人员之间建立积极的伙伴关系,以改善医疗服务的提供。本项目的目的是举办一系列患者参与研讨会,以确定改善手术体验的领域,并制定策略来解决被确定为高度优先的领域。
邀请外科医生和患者参加三次面对面会议。评估包括为三个优先领域确定和制定策略,以改善手术体验以及每次会议所实现的参与程度。
16名外科医生和32名患者参与其中。确定了约63个改善手术体验的主题;三个最高优先主题是医生沟通、出院流程以及出院后在家中的期望。针对这三个优先主题(分别为12个、36个和6个)的个人改进策略被用于制定正式的战略计划,包括医生沟通调查、出院流程工作表和视频,以及关于出院后在家中期望的指南。总体而言,超过85%的参与者认为所实现的参与程度很高。
实现了高度的患者参与。与患者和外科医生确定了优先事项以改善手术体验,并制定了策略来解决这些领域的问题。