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促进和支持患者、家属及照护者参与研究:患者参与研究的“渥太华模式”

Facilitating and supporting the engagement of patients, families and caregivers in research: the "Ottawa model" for patient engagement in research.

作者信息

Vanderhout Shelley, Nicholls Stuart, Monfaredi Zarah, Hampel Claudia, Ashdown Lynn, Bilodeau Maxime, Rich Susan, Shea Beverley, Fergusson Dean

机构信息

Clinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Road, Box 201B, Ottawa, ON, K1H 8L6, Canada.

School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Room 101, Ottawa, ON, K1G 5Z3, Canada.

出版信息

Res Involv Engagem. 2022 Jun 7;8(1):25. doi: 10.1186/s40900-022-00350-0.

Abstract

BACKGROUND

Patient engagement is increasingly being recognized as a critical component of health research; however, institutional models for building infrastructure and capacity for patient engagement in research are limited. There is an opportunity to create reproducible and scalable models of patient engagement in research and share best and promising practices.

MAIN BODY

In this article, we describe the development and features of the framework for the Ottawa Patient Engagement in Research Model at The Ottawa Hospital (TOH) and the Ottawa Hospital Research Institute (OHRI). Key components of the model include: a Patient and Family Engagement Program at TOH, which recruits, educates, and supports patients, families and caregivers to engage in clinical care, governance, and research; the Ottawa Methods Centre within the OHRI, which leads methodological research and provides support to investigators for patient engagement and patient-oriented research at TOH; and the Office of Patient Engagement in Research Activities, also within the OHRI, which facilitates collaborations between patients, researchers, clinicians and other stakeholders. Early success of this model can be attributed to aligned institutional priorities between TOH, OHRI and patients, the establishment of a patient engagement policy, ongoing education and support provided to patient partners and researchers, and innovative recruitment, tracking and evaluation procedures. Ongoing challenges and next steps include promoting diversity among patient partners, implementing an equitable compensation policy, engaging patients across a variety of roles and research areas, and developing resources to expand and sustain this program.

CONCLUSION

This model represents a unique effort of patients, clinicians, researchers, and policymakers across disciplines and institutions to produce a harmonized strategy and infrastructure for meaningful collaboration with patients and families in health research, and capacity building in patient-oriented research.

摘要

背景

患者参与日益被视为健康研究的关键组成部分;然而,用于建立患者参与研究的基础设施和能力的机构模式有限。有机会创建可重复和可扩展的患者参与研究模式,并分享最佳和有前景的实践经验。

主体内容

在本文中,我们描述了渥太华医院(TOH)和渥太华医院研究所(OHRI)的渥太华患者参与研究模式框架的开发和特点。该模式的关键组成部分包括:TOH的患者和家庭参与计划,该计划招募、教育并支持患者、家庭和护理人员参与临床护理、治理和研究;OHRI内的渥太华方法中心,该中心引领方法学研究,并为TOH的研究人员在患者参与和以患者为导向的研究方面提供支持;同样在OHRI内的研究活动患者参与办公室,该办公室促进患者、研究人员、临床医生和其他利益相关者之间的合作。该模式的早期成功可归因于TOH、OHRI与患者之间一致的机构优先事项、患者参与政策的制定、向患者合作伙伴和研究人员提供的持续教育和支持,以及创新的招募、跟踪和评估程序。持续存在的挑战和下一步措施包括促进患者合作伙伴的多样性、实施公平的薪酬政策、让患者参与各种角色和研究领域,以及开发资源以扩大和维持该计划。

结论

该模式代表了跨学科和机构的患者、临床医生、研究人员和政策制定者的独特努力,旨在制定一项协调一致的战略和基础设施,以便在健康研究中与患者和家庭进行有意义的合作,并开展以患者为导向的研究能力建设。

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