Hagendijk Marije E, Zipfel Nina, Melles Marijke, van der Wees Philip J, Hulshof Carel T J, Zwaan Elmi, van der Burg-Vermeulen Sylvia J, Hoving Jan L
Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Faculty of Industrial Design Engineering, Delft University of Technology, Delft, The Netherlands.
J Occup Rehabil. 2024 Jul 25. doi: 10.1007/s10926-024-10225-8.
To identify, appraise, and synthesize qualitative research evidence exploring patients' needs regarding work-focused healthcare.
A systematic review was conducted in accordance with the PRISMA statement guidelines to identify studies reporting patients' needs regarding work-focused healthcare. Four databases (MEDLINE, Embase, PsychInfo and Web of Science) were systematically searched from January 2000 until May 2023 and screened in duplicate by pairs of two reviewers. Inclusion criteria were qualitative data collection method, and patients' perspectives regarding healthcare focusing on work when experiencing work-related problems due to chronic medical conditions. Data extraction and synthesis was executed by means of an inductive thematic analysis approach. The quality of the included studies was assessed using the CASP Qualitative Study checklist. Confidence in the review findings was assessed through the Confidence in the Evidence from Reviews of Qualitative research (CERQual) approach.
Out of 23,677 records, 97 qualitative studies were included. Needs regarding four main themes were identified: (1) Substantive guidance, which comprises the specific content of work-focused healthcare; (2) Clear and continuous process, which comprises clarification and optimization of the work-focused healthcare process; (3) Supportive attitude and behavior, which comprises a positive and supportive attitude and behavior from professionals towards the patients; and (4) Tailored approach, which comprises the delivery of tailored care to the individuals' needs. 17 subthemes were identified.
The broader insight in patients' needs in work-focused healthcare can help (occupational) healthcare professionals adopt a more patient-centred approach in practice.
识别、评估和综合定性研究证据，以探索患者对以工作为重点的医疗保健的需求。
按照PRISMA声明指南进行系统评价，以识别报告患者对以工作为重点的医疗保健需求的研究。从2000年1月至2023年5月对四个数据库（MEDLINE、Embase、PsychInfo和Web of Science）进行系统检索，并由两名审稿人成对进行重复筛选。纳入标准为定性数据收集方法，以及患者在因慢性病而出现与工作相关问题时对以工作为重点的医疗保健的看法。通过归纳主题分析方法进行数据提取和综合。使用CASP定性研究清单评估纳入研究的质量。通过定性研究综述证据可信度（CERQual）方法评估对综述结果的信心。
在23677条记录中，纳入了97项定性研究。确定了关于四个主要主题的需求：（1）实质性指导，包括以工作为重点的医疗保健的具体内容；（2）清晰且持续的流程，包括以工作为重点的医疗保健流程的澄清和优化；（3）支持性态度和行为，包括专业人员对患者的积极和支持性态度及行为；（4）个性化方法，包括根据个人需求提供个性化护理。确定了17个子主题。
对患者在以工作为重点的医疗保健方面需求的更广泛了解有助于（职业）医疗保健专业人员在实践中采用更以患者为中心的方法。
