Managing multimorbidity: how can the patient experience be improved?
Managing multimorbidity: how can the patient experience be improved?
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DOI：
10.15256/joc.2016.6.75
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发表时间：
2016-01-01
影响因子：
--
通讯作者：
Kadenbach, Karin
中科院分区：
文献类型：
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作者：
Hasardzhiev, Stanimir;Mendao, Luis;Kadenbach, Karin
患者对自身医疗保健的体验是护理质量的一个重要方面，已被证明可以改善临床和其他结果。目前对多发性硬化症患者的管理经验知之甚少，尽管初步证据表明这可能很差。当他们有知识并参与决策时，当他们的护理得到很好的协调，沟通良好时，患有多功能障碍的人报告更好的护理经验。更加注重疾病预防，加强卫生和社会保健服务之间的合作，以及为有精神和身体健康问题的人提供更综合的护理，也将有助于改善患者的体验。倡导团体可以扩大患者的声音，改善获得护理的机会，并为患者及其家属提供信息和支持。患者在预防多发性硬化症和改善其管理方面发挥着重要作用，应参与卫生政策的制定和医疗服务的提供。还必须解决获得优质保健方面的不平等问题。
The patient's experience of their own healthcare is an important aspect of care quality that has been shown to improve clinical and other outcomes. Very little is currently known about patient experience in the management of multimorbidity, although preliminary evidence suggests that it may be poor. Individuals with multimorbidity report better experiences of care when they are knowledgeable and involved in the decision-making, when their care is well coordinated, and communication is good. A greater focus on disease prevention, stronger collaboration between health and social care services, and the provision of more integrated care for people with mental and physical health problems would also help to improve the patient experience. Advocacy groups can amplify the patient voice and improve access to care, as well as provide information and support to patients and their families. Patients have an important role in preventing multimorbidity and improving its management, and should be involved in the development of health policies and the delivery of healthcare services. Inequalities in access to quality healthcare must also be addressed.