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患者报告指标调查(巴黎):斯洛文尼亚一项现场试验的方法学考量

Patient Reported Indicator Surveys (Paris): Methodological Considerations of a Field Trial in Slovenia.

作者信息

Ambrož Matija, Kendir Candan, Boerma Wienke, Klemenc-Ketiš Zalika

机构信息

Community Health Centre Ljubljana, Metelkova 9, 1000 Ljubljana, Slovenia.

Organisation for Economic Co-operation and Development (OECD), 2, rue André Pascal 75016 Paris, France.

出版信息

Zdr Varst. 2024 Mar 1;63(1):30-37. doi: 10.2478/sjph-2024-0005. eCollection 2024 Mar.

DOI:10.2478/sjph-2024-0005
PMID:38156337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10751897/
Abstract

INTRODUCTION

Healthcare systems collect little information about the experiences and outcomes of care from the perspectives of patients. Patient Reported Indicator Surveys (PaRIS) is an OECD initiative to measure the outcomes and experiences of people living with chronic conditions, who are managed in primary care.

OBJECTIVES

To evaluate the feasibility of the methodology employed in the Field Trial of the PaRIS survey in Slovenia and propose adjustments to enhance sampling in the Main Survey.

METHODS

In 2022, we conducted a cross-sectional observational study in 50 family medicine practices in Slovenia with a target of recruiting 70 patients per practice. We used the Slovenian version of the PaRIS questionnaires, and evaluated sampling and data collection.

RESULTS

The sample contained 21 providers (42.0% response rate) and 454 patients (50.7% response rate). The provider sample did not differ from the population characteristics, while the patient sample differed significantly from the patient population. All providers completed the survey online, in 20.9±11.1 minutes and had 1.5±1.5 restarts. Most patients (74.9%) completed the survey online and needed 36.0±22.6 minutes, and the mean number of restarts was 1.4±2.2.

CONCLUSION

Based on the results, we recommend conducting a methodology test for quality assessment studies before initiating the main survey. Legal issues should be addressed and considered early when developing the methodology. It is also necessary to be aware of the feasibility of the study in practice, to avoid a low participation rate.

摘要

引言

医疗保健系统从患者角度收集的有关护理体验和结果的信息很少。患者报告指标调查(PaRIS)是经合组织发起的一项倡议,旨在衡量在初级保健中接受管理的慢性病患者的结果和体验。

目的

评估斯洛文尼亚PaRIS调查现场试验所采用方法的可行性,并提出调整建议以加强主要调查中的抽样。

方法

2022年,我们在斯洛文尼亚的50家家庭医疗诊所开展了一项横断面观察性研究,目标是每家诊所招募70名患者。我们使用了PaRIS问卷的斯洛文尼亚语版本,并对抽样和数据收集进行了评估。

结果

样本包括21名提供者(回复率42.0%)和454名患者(回复率50.7%)。提供者样本与总体特征无差异,而患者样本与患者总体有显著差异。所有提供者均在线完成调查,用时20.9±11.1分钟,平均重新启动1.5±1.5次。大多数患者(74.9%)在线完成调查,需要36.0±22.6分钟,平均重新启动次数为1.4±2.2次。

结论

基于研究结果,我们建议在开展主要调查之前对质量评估研究进行方法测试。在制定方法时应尽早解决和考虑法律问题。还必须了解该研究在实际中的可行性,以避免参与率过低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/303d/10751897/fd7f67633ef9/j_sjph-2024-0005_fig_001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/303d/10751897/fd7f67633ef9/j_sjph-2024-0005_fig_001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/303d/10751897/fd7f67633ef9/j_sjph-2024-0005_fig_001.jpg

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