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以患者为中心的范式:一种增强医疗保健的系统思维方法。

Patient-Centric Paradigm: A Systems Thinking Approach to Enhance Healthcare.

作者信息

Adeogun Ashiat, Faezipour Misa

机构信息

Healthcare Informatics Program, College of Basic and Applied Sciences, Middle Tennessee State University, Murfreesboro, TN 37132, USA.

Department of Engineering Technology, Middle Tennessee State University, Murfreesboro, TN 37132, USA.

出版信息

Healthcare (Basel). 2025 Jan 21;13(3):213. doi: 10.3390/healthcare13030213.

Abstract

The study aims to investigate the impact of patient-centric approaches on patient health outcomes, identify key leverage points for enhancing patient-centered care, and evaluate the effectiveness of systems thinking in guiding healthcare transformations. The research utilizes system dynamics methodology, combining qualitative and quantitative data with causal loop diagrams and simulation models. Using Vensim software, the study examines dynamic interactions, feedback loops, and the effects of patient-centric interventions. Sensitivity analysis assesses the impact of variables such as access to healthcare improvements, and social determinants of health (SDOH), providing insights into the systemic behaviors of healthcare models. Simulation analyses demonstrate the effectiveness of patient-centric interventions in improving engagement, satisfaction, communication, and health outcomes. Key leverage points, such as enhanced patient-provider communication and addressing SDOH, are critical for driving sustainable improvements. However, declining trends in outcomes over time indicate the need for adaptive strategies to maintain effectiveness. The study emphasizes the importance of maintaining patient centricity in healthcare settings. By leveraging systems thinking and addressing underlying factors such as SDOH, the research provides actionable insights to enhance care delivery and patient outcomes. Despite the limitations of simulated data, the findings contribute to understanding the dynamic interplay between patient-centric strategies and healthcare system performance, advocating for sustained efforts to ensure equitable and effective care.

摘要

该研究旨在调查以患者为中心的方法对患者健康结果的影响,确定加强以患者为中心的护理的关键杠杆点,并评估系统思维在指导医疗保健转型中的有效性。该研究采用系统动力学方法,将定性和定量数据与因果循环图和模拟模型相结合。使用Vensim软件,该研究考察动态相互作用、反馈回路以及以患者为中心的干预措施的效果。敏感性分析评估诸如获得医疗保健改善的机会以及健康的社会决定因素(SDOH)等变量的影响,从而深入了解医疗保健模式的系统行为。模拟分析证明了以患者为中心的干预措施在提高参与度、满意度、沟通和健康结果方面的有效性。关键杠杆点,如加强医患沟通和解决SDOH问题,对于推动可持续改善至关重要。然而,随着时间推移结果呈下降趋势表明需要采取适应性策略以维持有效性。该研究强调在医疗保健环境中保持以患者为中心的重要性。通过利用系统思维并解决诸如SDOH等潜在因素,该研究提供了可采取行动的见解,以改善护理提供和患者结果。尽管模拟数据存在局限性,但研究结果有助于理解以患者为中心的策略与医疗保健系统绩效之间的动态相互作用,倡导持续努力以确保公平和有效的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c571/11817556/0d56e948ede6/healthcare-13-00213-g001.jpg

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