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新冠疫情期间门诊环境下的患者共创举措:一项系统评价。

Patient Co-Creation Initiatives in the Ambulatory Care Setting during COVID-19: A Systematic Review.

机构信息

School of Health Administration, Texas State University, San Marcos, TX 78666, USA.

出版信息

Medicina (Kaunas). 2024 Jan 7;60(1):111. doi: 10.3390/medicina60010111.

DOI:10.3390/medicina60010111
PMID:38256372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10818531/
Abstract

The COVID-19 pandemic has led to significant changes in ambulatory care to meet new healthcare demands. A review of 21 articles focusing on patient co-creation initiatives during the pandemic shows that integrating patient feedback was crucial in transforming care delivery. Joint efforts between healthcare professionals and patients led to new patient-focused telemedicine platforms, more efficient appointment systems, and improved safety measures. These adaptations overcame care barriers and maintained continuity of care. Key themes identified include monitoring community health standards, combining technology with patient-provider communication, and enhancing patient participation in health research. : These co-creation efforts not only boosted patient satisfaction and outcomes but also demonstrated the potential for long-term healthcare innovations beyond the pandemic. The review further illuminates that co-creation in healthcare, particularly in tracking community health trends, is a practical strategy that involves diverse stakeholders in shaping healthcare delivery. The widespread adoption of co-creation in outpatient care during the pandemic highlights its role in driving patient-centered behavioral changes through innovative methods like crowdsourcing and dialogue conferencing. The review also recognizes that co-creation has been instrumental in responding to demographic changes, enhancing resources, creativity, and problem-solving in municipal-volunteer collaborations. Additionally, the evolution of technology in patient-provider communication, from initial resistance in the 1990s to its current critical role, particularly during the COVID-19 pandemic, underscores its importance in enhancing healthcare service delivery and patient data communication. The review also emphasizes the need for ethically and accessibly designed technology, especially for vulnerable groups, and highlights the significance of patient involvement in healthcare research, advocating for user-centered design and shared decision-making to create truly patient-centric interventions.

摘要

COVID-19 大流行导致了门诊护理的重大变化,以满足新的医疗需求。对 21 篇重点关注大流行期间患者共同创造举措的文章进行综述表明,整合患者反馈对于改变护理服务至关重要。医疗保健专业人员和患者之间的共同努力导致了新的以患者为中心的远程医疗平台、更高效的预约系统和改进的安全措施。这些调整克服了护理障碍并保持了护理的连续性。确定的主要主题包括监测社区健康标准、将技术与医患沟通相结合以及增强患者参与健康研究的能力。这些共同创造的努力不仅提高了患者的满意度和结果,还展示了大流行后长期医疗创新的潜力。该综述进一步表明,医疗保健中的共同创造,特别是在跟踪社区健康趋势方面,是一种实用策略,涉及不同利益相关者共同塑造医疗服务提供。大流行期间在门诊护理中广泛采用共同创造突出了其通过众包和对话会议等创新方法推动以患者为中心的行为改变的作用。该综述还认识到,共同创造在应对人口变化、增强资源、创造力和市-志愿者合作中的问题解决方面发挥了重要作用。此外,患者与提供者之间的技术交流从 20 世纪 90 年代的最初抵制到目前在 COVID-19 大流行期间的关键作用的演变,强调了其在增强医疗服务提供和患者数据交流方面的重要性。该综述还强调了需要设计具有道德和可访问性的技术,特别是对于弱势群体,并强调了患者参与医疗保健研究的重要性,倡导以用户为中心的设计和共同决策,以创建真正以患者为中心的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca2/10818531/1f3e4c461349/medicina-60-00111-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca2/10818531/f2cbdfd2458a/medicina-60-00111-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca2/10818531/1f3e4c461349/medicina-60-00111-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca2/10818531/f2cbdfd2458a/medicina-60-00111-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ca2/10818531/1f3e4c461349/medicina-60-00111-g002.jpg

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Front Pediatr. 2023 Feb 14;11:1132639. doi: 10.3389/fped.2023.1132639. eCollection 2023.
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