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患者参与对医疗质量的影响:一项范围综述

Impact of Patient Engagement on Healthcare Quality: A Scoping Review.

作者信息

Marzban Sima, Najafi Marziye, Agolli Arjola, Ashrafi Ensieh

机构信息

President and CEO at Key Patient Insights, Chapel Hill, North Carolina.

Department of Health Economics and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Patient Exp. 2022 Sep 16;9:23743735221125439. doi: 10.1177/23743735221125439. eCollection 2022.


DOI:10.1177/23743735221125439
PMID:36134145
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9483965/
Abstract

Patient engagement (PE) is a well-known strategy introduced and implemented by pharmaceutical and medical device companies for patient compliance and adherence to treatment protocols during clinical trials and care processes. This can affect a wider range of outcomes such as the quality of treatment decisions and quality of care outcomes. Few studies have paid attention to it. The involvement of patient is one of the crucial stakeholders of health care in their treatment that makes controversial opinions about the potential outcomes of their engagement in various aspects of healthcare. This scoping review was conducted in 2022 to collect the results of PE. The search was performed in the MEDLINE and Web of Sciences databases. The selected documents were categorized and reported by the direct content analysis method. Out of 3974 published documents, 17 articles were selected. Findings are categorized into 4 groups: (1) Health outcome, (2) patient compliance, (3) self-efficiency, and (4) return on investment. PE can improve both treatment outcomes and consequently patient satisfaction and health, as well as the productivity of the service provider. However, increasing self-care and patient adherence are among the positive effects of this engagement on the patient, and return on investment is still a challenge for PE.

摘要

患者参与(PE)是制药和医疗器械公司引入并实施的一项知名策略,目的是在临床试验和护理过程中提高患者对治疗方案的依从性。这可能会影响更广泛的结果,如治疗决策质量和护理结果质量。很少有研究关注这一点。患者作为医疗保健的关键利益相关者之一,其参与医疗保健各方面可能产生的潜在结果引发了争议。这项范围综述于2022年进行,以收集患者参与的结果。检索在MEDLINE和科学网数据库中进行。所选文献通过直接内容分析法进行分类和报告。在3974篇已发表文献中,选取了17篇文章。研究结果分为4组:(1)健康结果,(2)患者依从性,(3)自我效能,以及(4)投资回报率。患者参与可以改善治疗结果,进而提高患者满意度和健康水平,以及服务提供者的生产力。然而,增加自我护理和患者依从性是这种参与对患者的积极影响之一,而投资回报率对患者参与来说仍然是一个挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3da/9483965/eaa5c4c3a950/10.1177_23743735221125439-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3da/9483965/4035d68d9ea3/10.1177_23743735221125439-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3da/9483965/eaa5c4c3a950/10.1177_23743735221125439-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3da/9483965/4035d68d9ea3/10.1177_23743735221125439-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3da/9483965/eaa5c4c3a950/10.1177_23743735221125439-fig2.jpg

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本文引用的文献

[1]
Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety.

Health Expect. 2021-12

[2]
Patients' engagement in primary care research: a case study in a Canadian context.

Res Involv Engagem. 2020-11-1

[3]
What's Important: Patient Engagement in Research.

J Bone Joint Surg Am. 2020-10-21

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Factors that influence patient empowerment in inpatient chronic care: early thoughts on a diabetes care intervention in South Africa.

BMC Endocr Disord. 2019-12-5

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Diabetes Res Clin Pract. 2019-12-2

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Strategies for engaging patients and families in collaborative care programs for depression and anxiety disorders: A systematic review.

J Affect Disord. 2020-2-15

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Prim Care. 2019-12

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Adherence to Treatment in Patients with Chronic Diseases: From Alertness to Persistence.

Int J Community Based Nurs Midwifery. 2019-10

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Evaluating the "return on patient engagement initiatives" in medicines research and development: A literature review.

Health Expect. 2020-2

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