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应用技术将预访规划付诸临床实践,以在大流行时代赋予以患者为中心的护理:系统评价和框架建议。

Applied techniques for putting pre-visit planning in clinical practice to empower patient-centered care in the pandemic era: a systematic review and framework suggestion.

机构信息

Health Information Management Department, School of Allied Medical Sciences, Tehran University of Medical Sciences, 5th Floor, Fardanesh Alley, Qods Ave, Tehran, Iran.

Pulmonary and Critical care Medicine Department, Thoracic Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

BMC Health Serv Res. 2021 May 13;21(1):458. doi: 10.1186/s12913-021-06456-7.

Abstract

BACKGROUND

One of the main elements of patient-centered care is an enhancement of patient preparedness. Thus, pre-visit planning assessment tools was emerged to prepare and involve patients in their treatment process.

OBJECTIVE

The main objective of this article was to review the applied tools and techniques for consideration of putting pre-visit planning into practice.

METHODS

Web of Science, Scopus, IEEE, and PubMed databases were searched using keywords from January 2001 to November 2020. The review was completed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Then, qualitative analysis was done to suggest an appropriate framework by mapping the main concepts.

RESULTS

Out of 385 citations were retrieved in initial database searches, 49 studies from ten countries were included. Applied pre-visit techniques can be classified into eight categories. Our results showed that almost 81% of studies were related to procedures that were done between each visit, while 42% of articles were related to before visits. Accordingly, the main approach of included articles was patient preparedness. While 38 studies reported this approach is effective, three studies reported the effectiveness of such tools as moderate, only two articles believed it had a low effect on improving patient-centered care.

CONCLUSION

This survey summarized the characteristics of published studies on pre-visit planning in the proposed framework. This approach could enhance the quality of patient care alongside enhancement patient-provider communication. However, such an approach can also be helpful to control pandemic diseases by reducing unnecessary referrals.

摘要

背景

以患者为中心护理的主要内容之一是增强患者的准备程度。因此,出现了预访规划评估工具,以准备和让患者参与他们的治疗过程。

目的

本文的主要目的是回顾用于考虑实施预访规划的应用工具和技术。

方法

使用 2001 年 1 月至 2020 年 11 月的关键字,在 Web of Science、Scopus、IEEE 和 PubMed 数据库中进行了搜索。该综述是根据系统评价和荟萃分析的首选报告项目清单完成的。然后,通过映射主要概念进行定性分析,提出了一个合适的框架。

结果

在最初的数据库搜索中检索到 385 条引文,从十个国家/地区共纳入了 49 项研究。应用的预访技术可分为八类。结果表明,近 81%的研究与每次就诊之间进行的程序有关,而 42%的文章与就诊前有关。因此,纳入文章的主要方法是患者准备。虽然 38 项研究报告称这种方法有效,但有三项研究报告称这些工具的效果中等,只有两篇文章认为它对改善以患者为中心的护理效果较低。

结论

本调查总结了提出框架中关于预访规划的已发表研究的特点。这种方法可以提高患者护理质量,同时增强医患沟通。然而,这种方法也可以通过减少不必要的转诊来帮助控制大流行疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b166/8117627/04863dc3f91f/12913_2021_6456_Fig1_HTML.jpg

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