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患者驱动创新在同行评议期刊上发表的目标和结果:纳入范围综述的出版物的定性分析。

Objectives and outcomes of patient-driven innovations published in peer-reviewed journals: a qualitative analysis of publications included in a scoping review.

机构信息

Department of Learning, Informatics, Management and Ethics, Karolinska Institute, Stockholm, Sweden

Department of Learning, Informatics, Management and Ethics, Karolinska Institute, Stockholm, Sweden.

出版信息

BMJ Open. 2023 Jun 1;13(6):e071363. doi: 10.1136/bmjopen-2022-071363.

Abstract

OBJECTIVES

The aim of this study was to gain a deeper understanding of the objectives and outcomes of patient-driven innovations that have been published in the scientific literature, focusing on (A) the unmet needs that patient-driven innovations address and (B) the outcomes for patients and healthcare that have been reported.

METHODS

We performed an inductive qualitative content analysis of scientific publications that were included in a scoping review of patient-driven innovations, previously published by our research group. The review was limited to English language publications in peer-reviewed journals, published in the years 2008-2020.

RESULTS

In total, 83 publications covering 21 patient-driven innovations were included in the analysis. Most of the innovations were developed for use on an individual or community level without healthcare involvement. We created three categories of unmet needs that were addressed by these innovations: access to self-care support tools, open sharing of information and knowledge, and patient agency in self-care and healthcare decisions. Eighteen (22%) publications reported outcomes of patient-driven innovations. We created two categories of outcomes: impact on self-care, and impact on peer interaction and healthcare collaboration.

CONCLUSIONS

The patient-driven innovations illustrated a diversity of innovative approaches to facilitate patients' and informal caregivers' daily lives, interactions with peers and collaborations with healthcare. As our findings indicate, patients and informal caregivers are central stakeholders in driving healthcare development and research forward to meet the needs that matter to patients and informal caregivers. However, only few studies reported on outcomes of patient-driven innovations. To support wider implementation, more evaluation studies are needed, as well as research into regulatory approval processes, dissemination and governance of patient-driven innovations.

摘要

目的

本研究旨在深入了解已在科学文献中发表的患者驱动创新的目标和结果,重点关注:(A) 患者驱动创新解决的未满足需求,以及(B) 报告的患者和医疗保健结果。

方法

我们对先前由我们的研究小组进行的患者驱动创新范围综述中包含的科学出版物进行了归纳定性内容分析。该综述仅限于同行评审期刊上发表的 2008-2020 年期间以英文发表的出版物。

结果

共有 83 篇涵盖 21 项患者驱动创新的出版物被纳入分析。大多数创新是为个人或社区层面开发的,没有医疗保健参与。我们创建了三个类别的未满足需求,这些创新可以解决这些需求:获得自我护理支持工具、信息和知识的开放共享,以及患者在自我护理和医疗保健决策中的代理。有 18 篇(22%)出版物报告了患者驱动创新的结果。我们创建了两类结果:对自我护理的影响,以及对同伴互动和医疗保健协作的影响。

结论

患者驱动的创新展示了各种创新方法,以促进患者和非专业护理人员的日常生活、与同伴的互动和与医疗保健的协作。正如我们的研究结果表明,患者和非专业护理人员是推动医疗保健发展和研究的核心利益相关者,以满足患者和非专业护理人员关心的需求。然而,只有少数研究报告了患者驱动创新的结果。为了支持更广泛的实施,需要更多的评估研究,以及对监管批准程序、患者驱动创新的传播和治理的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b444/10255190/6efe84a1ce6c/bmjopen-2022-071363f01.jpg

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