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综合健康护理患者体验[PEICE]:一项横断面研究。

Patient Experiences of Integrative health CarE [PEICE]: A cross-sectional study.

作者信息

Leach Matthew J, DuBois Simon, DuBois Reine

机构信息

JBI, University of Adelaide, North Adelaide, SA, Australia.

The Health Lodge Integrated Medical Centre, Byron Bay, NSW, Australia.

出版信息

Integr Med Res. 2025 Jun;14(2):101147. doi: 10.1016/j.imr.2025.101147. Epub 2025 Apr 23.

Abstract

BACKGROUND

Although consumer demand and practitioner interest in integrative health care (IHC) have amplified over the past few decades, the patient experience of IHC still remains poorly understood. This study aimed to explore patient's experiences of receiving care within an IHC setting in Australia.

METHODS

Adults that had accessed an IHC setting within the past 12 months were invited to participate in a national, cross-sectional study. Individuals meeting the inclusion criteria were asked to complete the 57-item Integrative Healthcare Experience Tool (iHEET), online.

RESULTS

A total of 327 participants completed the iHEET (82.3 % female; 92.9 % aged 30 years or older). Participants reported a generally favourable experience of IHC, as indicated by an overall IHC experience score of 4.19 ± 0.90 (mean ± SD). Mean experience subscores were high for 8 of the 12 IHC experience domains (i.e. respectful, personalised, patient-centred, holistic, interdisciplinary, evidence-based, communicative, wellness-focussed), and moderate for 4 of the 12 domains (i.e. non-hierarchical, collaborative, coordinated, accessible).

CONCLUSION

The findings of this novel study suggest IHC practice in Australia closely aligns with the philosophy and framework of IHC, and is mostly congruent with what patients want from an IHC service. Notwithstanding, there are several areas where IHC services could improve in order to optimise the patient experience. These areas include providing care that is more visibly collaborative and coordinated, and enabling equitable access to services for diverse patient populations.

摘要

背景

尽管在过去几十年里,消费者对综合医疗保健(IHC)的需求以及从业者对其的兴趣都有所增加,但人们对综合医疗保健中患者的体验仍知之甚少。本研究旨在探索澳大利亚患者在综合医疗保健环境中接受治疗的体验。

方法

邀请在过去12个月内使用过综合医疗保健服务机构的成年人参与一项全国性横断面研究。符合纳入标准的个体被要求在线完成57项综合医疗保健体验工具(iHEET)。

结果

共有327名参与者完成了iHEET(82.3%为女性;92.9%年龄在30岁及以上)。参与者对综合医疗保健的体验总体良好,综合医疗保健体验总分为4.19±0.90(均值±标准差)。在12个综合医疗保健体验领域中,8个领域的平均体验子分数较高(即尊重、个性化、以患者为中心、整体、跨学科、循证、沟通、注重健康),12个领域中的4个领域平均体验子分数中等(即非等级制、协作、协调、可及)。

结论

这项新研究的结果表明,澳大利亚的综合医疗保健实践与综合医疗保健的理念和框架密切相关,并且在很大程度上与患者对综合医疗保健服务的期望相符。尽管如此,综合医疗保健服务在几个方面仍可改进,以优化患者体验。这些方面包括提供更明显具有协作性和协调性的护理,以及使不同患者群体能够公平地获得服务。

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