EXPANDING PATIENT INVOLVEMENT IN CARE - EFFECTS ON PATIENT OUTCOMES
EXPANDING PATIENT INVOLVEMENT IN CARE - EFFECTS ON PATIENT OUTCOMES
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DOI：
10.7326/0003-4819-102-4-520
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发表时间：
1985-01-01
影响因子：
39.2
通讯作者：
WARE, JE
中科院分区：
文献类型：
--
作者：
GREENFIELD, S;KAPLAN, S;WARE, JE
制定了一项干预措施，以增加患者参与护理。使用治疗算法作为指导，帮助患者阅读他们的医疗记录，并指导他们在定期访问之前的20分钟会议期间提出问题并与医生协商医疗决定。在一项随机对照试验中，将这种干预与溃疡病患者在诊所进行的相同长度的标准教育课程进行了比较。试验后6 ~ 8 wk，实验组患者报告的身体和角色相关活动的限制较少（P < 0.05），更喜欢在医疗决策中发挥更积极的作用，对护理的满意度与对照组相同。对医患互动录音带的分析表明，实验组患者从医生那里获得信息的效率是对照组患者的两倍（P < 0.05）。干预的结果包括增加参与与医生的互动，减少疾病对患者功能能力的限制，以及增加积极参与医疗决策的偏好。
An intervention was developed to increase patient involvement in care. Using a treatment algorithm as a guide, patients were helped to read their medical record and coached to ask questions and negotiate medical decisions with their physicians during a 20 min session before their regularly scheduled visit. In a randomized controlled trial this intervention was compared with a standard educational session of equal length in a clinic for patients with ulcer disease. Six to 8 wk after the trial, patients in the experimental group reported fewer limitations in physical and role-related activities (P < 0.05), preferred a more active role in medical decision-making, and were as satisfied with their care as the control group. Analysis of audiotapes of physician-patient interactions showed that patients in the experimental group were twice as effective as control patients in obtaining information from physicians (P < 0.05). Results of the intervention included increased involvement in the interaction with the physician, fewer limitations imposed by the disease on patients'' functional ability, and increased preference for active involvement in medical decision-making.