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儿科医疗保健中患者报告的体验指标——快速证据评估

Patient-Reported Experience Measures in Pediatric Healthcare-A Rapid Evidence Assessment.

作者信息

Bartholdson C, Broström E, Iversen M D, Granhagen Jungner J

机构信息

Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.

Highly Specialized Pediatric Medicine and Orthopedics, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.

出版信息

J Patient Exp. 2024 Dec 9;11:23743735241290481. doi: 10.1177/23743735241290481. eCollection 2024.

Abstract

This study aimed to describe what is known in the scientific literature about patient-reported experience measures (PREMs) in pediatric healthcare and identify areas for further exploration. PubMed, Web of Science, CINAHL, Google Scholar, COCHRANE, and SveMed+ combined with free text search in FireFox and Safari web browsers using Medical Subject Headings terms were used. Outcomes of interest were patient experience and measures of these constructs. Of the 316 studies identified, 68 met the inclusion criteria. Forty-eight studies (72%) were published between 2015 and 2020 and more than half (53%) were published in Europe. Most studies of PREMs in pediatric healthcare included adult proxies as participants. Seventy-eight percent of studies consisted of > 100 participants. Thirty-six studies (53%) were quantitative studies, 26 (38%) were evaluative studies of patient experience measures, and 6 (9%) were qualitative in design. Three hundred eleven domains were identified and further categorized into 14 domain areas. This research is important because it aims to amplify the voices of children in healthcare and establish a foundation for developing validated pediatric-PREMs that is grounded in children's firsthand experiences of care, rather than relying primarily on proxy accounts.

摘要

本研究旨在描述科学文献中关于儿科医疗保健中患者报告体验测量(PREMs)的已知情况,并确定有待进一步探索的领域。使用了PubMed、科学网、护理学与健康领域数据库(CINAHL)、谷歌学术、考克兰系统评价数据库(COCHRANE)以及瑞典医学文摘数据库(SveMed+),并结合在FireFox和Safari网络浏览器中使用医学主题词进行的自由文本搜索。感兴趣的结果是患者体验以及这些结构的测量。在识别出的316项研究中,68项符合纳入标准。48项研究(72%)发表于2015年至2020年之间,超过一半(53%)发表于欧洲。儿科医疗保健中大多数关于PREMs的研究将成人代理人作为参与者。78%的研究参与者超过100人。36项研究(53%)为定量研究,26项(38%)为患者体验测量的评估研究,6项(9%)为定性研究。识别出311个领域,并进一步归类为14个领域类别。这项研究很重要,因为它旨在增强儿童在医疗保健中的声音,并为开发基于儿童护理第一手经验而非主要依赖代理人描述的经过验证的儿科PREMs奠定基础。

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