Measuring what matters for people-centred health systems
Measuring what matters for people-centred health systems
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衡量对以人为本的卫生系统重要的因素
DOI：
10.1787/4bbba455-en
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
Chung
中科院分区：
文献类型：
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作者：
Szu;Fransisca Fortunata Effendi;J. Peng;Chung
卫生系统的主要目标是改善病人和人口的健康。然而，很少有卫生系统定期询问病人的结果和他们的护理经验。本章介绍了髋关节和膝关节置换术后的患者报告的结果，以及乳腺癌手术，以及患者报告的精神健康问题的人的经验，从经合组织国家的一个子集。接受关节置换手术的患者报告，平均而言，髋关节置换术的功能和生活质量有所改善，收益略高。平均而言，接受自体乳房重建手术的女性报告的结果比接受植入物重建的女性更好。与此同时，2016年英联邦基金对11个国家的调查结果表明，有精神健康问题的人在某些方面的护理体验更差。这些信息对其他卫生服务用户、临床医生、提供者、付款人和决策者都很有价值。
The key objective of a health system is to improve the health of patients and populations. However, few health systems routinely ask patients about the outcomes and the experience of their care. This chapter presents patient-reported outcomes following hip and knee replacement, and breast cancer surgery, as well as patient-reported experiences of people with mental health problems, from a subset of OECD countries. Patients who underwent joint replacement surgery reported, on average, improved function and quality of life with hip replacements generating slightly higher gains. Women who underwent autologous breast reconstruction surgery reported, on average, better outcomes than women who underwent implant reconstruction. Meanwhile results of a 2016 Commonwealth Fund survey of 11 countries suggest that people with a mental health problem report a worse experience in some aspects of care. Such information is valuable for other health service users, for clinicians, providers, payers and policymakers.
(10) 卡拉帕亚
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