Wensing M, Jung H P, Mainz J, Olesen F, Grol R
Centre for Quality of Care Research, University of Nijmegen, The Netherlands.
Soc Sci Med. 1998 Nov;47(10):1573-88. doi: 10.1016/s0277-9536(98)00222-6.
To make health care more responsive to patient needs, insight into patient priorities is needed. A systematic literature review, using electronic and manual searches, was made of studies on patient priorities with regard to primary health care. Data-extraction was performed by two researchers, followed by systematic analyses of study features. 57 studies were included. The aspects of care and methods used showed a wide variation. Aspects most often included were "informativeness", "humaneness" and "competence/accuracy". Based on an analysis of 19 studies, the following aspects were seen by patients as most important in more than 50% of the studies that included them: "humaneness", "competence/accuracy", "patients' involvement in decisions", "time for care", "other aspects of availability/accessibility", "informativeness", "exploring patients' needs", "other aspects of relation and communication" and "availability of special services".
为使医疗保健更能满足患者需求，需要深入了解患者的优先事项。我们通过电子检索和人工检索，对有关初级卫生保健患者优先事项的研究进行了系统的文献综述。由两名研究人员进行数据提取，随后对研究特征进行系统分析。共纳入57项研究。所提供的护理方面和使用的方法差异很大。最常涉及的方面包括“信息性”、“人性化”和“能力/准确性”。基于对19项研究的分析，在纳入这些方面的研究中，超过50%的患者认为以下方面最为重要：“人性化”、“能力/准确性”、“患者参与决策”、“护理时间”、“可及性/便利性的其他方面”、“信息性”、“探究患者需求”、“关系与沟通的其他方面”以及“特殊服务的可及性”。
