Department of Health Psychology, Medical University of Warsaw, Warsaw, Poland.
Appl Psychol Health Well Being. 2023 Nov;15(4):1237-1253. doi: 10.1111/aphw.12434. Epub 2023 Jan 7.
Patient experiences and activation are increasingly researched. However, related data are limited in three areas: interventions for general practitioners (GPs) working with mature adults (50+), dedicated e-learning interventions for GPs, and assessments of e-learning for medical staff through patient experiences. We examined how e-learning intervention focused on improving GPs' skills in activating communication (understood as promoting engagement and active participation in healthcare) can enhance the experiences of mature patients. The intervention was designed for GPs, yet innovative assessment was based on patient experiences post-visit. Three research conditions for GPs (n = 165) were introduced: (1) e-learning or (2) pdf-article intervention and (3) control. Two independent waves of their patients participated before and after the intervention. Experience measures for patients (n = 1639) included the Patient Expectations Scale (post-visit), perceived GP's Communication Skills scale, and Patient Satisfaction with Visit scale. E-learning intervention compared with the control group had a favorable effect for 5 out of 8 dimensions of patient experience. Change in emotional support and quality of life was particularly visible. Mature patient experiences can be improved with the e-learning intervention for GPs. Measuring patient experience enriches the available knowledge and can help design future research and interventions.
患者体验和参与度越来越受到关注。然而,相关数据在三个领域仍存在局限性:针对 50 岁以上成熟成年人的全科医生(GP)干预措施、针对 GP 的专用电子学习干预措施,以及通过患者体验评估医疗人员的电子学习效果。我们研究了如何通过电子学习干预措施来提高 GP 激活沟通的技能(理解为促进患者在医疗保健中的参与和积极参与),从而增强成熟患者的体验。该干预措施针对 GP 设计,但创新评估基于就诊后患者的体验。我们为 GP 引入了三种研究条件(n=165):(1)电子学习或(2)pdf 文章干预,以及(3)对照组。两组患者分别在干预前后参与了两轮独立调查。患者体验测量指标(n=1639)包括患者期望量表(就诊后)、感知 GP 沟通技巧量表和就诊满意度量表。与对照组相比,电子学习干预在患者体验的 8 个维度中有 5 个维度产生了积极影响。情感支持和生活质量的变化尤为明显。通过针对 GP 的电子学习干预,可以改善成熟患者的体验。测量患者体验丰富了现有知识,有助于设计未来的研究和干预措施。