医疗保健专业人员如何定义质量管理中的患者参与？一项调查研究。

How did healthcare professionals define patient engagement in quality management? A survey study.

机构信息

Polytechnic School - Production Engineering Department, University of São Paulo (USP), Av. Prof. Luciano Gualberto, 1380, São Paulo, 05508-010, Brazil.

Engineering School - Production Engineering Coordination, Mackenzie Presbyterian University, São Paulo, Brazil.

出版信息

BMC Health Serv Res. 2023 Feb 20;23(1):173. doi: 10.1186/s12913-023-09098-z.

DOI:10.1186/s12913-023-09098-z

PMID:36803492

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9942306/

Abstract

BACKGROUND

Patient and family engagement (PFE) can positively impact the patient experience and care process outcomes. There is no unique type of PFE, and the process is usually defined by the quality management department or professionals responsible for this process in the hospital. The objective of this study is to define PFE in quality management based on the professional's perspective.

METHOD

A survey was carried out with 90 professionals from Brazilian hospitals. There were two questions aimed at understanding the concept. The first was a multiple-choice question to identify synonyms. The second was an open-ended question to develop the definition. A content analysis methodology was employed by applying techniques for thematic and inferential analysis.

RESULTS

Three words were classified as synonyms by more than 60% of respondents: involvement, participation, and centered care. The participants described patient participation at both the individual (related to the treatment) and organizational levels (related to quality improvement). The PFE in the treatment is related to the development, discussion and decision-making about the therapeutic plan, participation in each step of care, and knowledge of the institution's quality and safety processes. At the organizational level, engagement in quality improvement includes the involvement of the P/F in all processes of the institution, from strategic planning to the design or improvement processes, as well as active participation in institutional committees or commissions.

CONCLUSION

The professionals defined engagement in two levels (individual and organizational) and the results suggest that their point of view can influence the practice in the hospitals. Professionals of hospitals that implemented mechanisms of consult defined PFE more in the individual level. On the other hand, professionals of hospitals that implemented mechanisms of involvement considered PFE more focus in the organizational level.

摘要

背景

患者和家属参与（PFE）可以积极影响患者体验和医疗照护过程的结果。没有独特类型的 PFE，该过程通常由质量管理部门或负责医院内该过程的专业人员定义。本研究的目的是基于专业人员的视角定义质量管理中的 PFE。

方法

对来自巴西医院的 90 名专业人员进行了一项调查。有两个问题旨在了解该概念。第一个是多项选择题，旨在识别同义词。第二个是开放式问题，旨在制定定义。采用内容分析法，应用主题和推理分析技术。

结果

有三个词被超过 60%的受访者归类为同义词：参与、参与和以患者为中心的护理。参与者描述了患者在个体（与治疗相关）和组织层面（与质量改进相关）的参与。治疗中的 PFE 与治疗计划的制定、讨论和决策、参与护理的每一个步骤以及对机构质量和安全流程的了解有关。在组织层面，参与质量改进包括患者/家属参与机构的所有流程，从战略规划到设计或改进流程，以及积极参与机构委员会或委员会。