A systematic review of evidence on the links between patient experience and clinical safety and effectiveness.
A systematic review of evidence on the links between patient experience and clinical safety and effectiveness.
复制标题
DOI：
10.1136/bmjopen-2012-001570
复制
发表时间：
2013-01-03
期刊：
影响因子：
2.9
通讯作者：
Bell D
中科院分区：
文献类型：
--
作者：
Doyle C;Lennox L;Bell D
探索患者体验与临床安全性和有效性结局之间联系的证据。系统评价。初级和二级保健范围广泛，包括医院和初级保健中心。广泛的人口群体和年龄组。广泛的患者安全性和临床有效性结局，包括死亡率、身体症状、住院时间和治疗依从性。本研究总结了55项研究的证据，表明患者经验、患者安全性和临床有效性之间存在一致的正相关性，适用于广泛的疾病领域、环境、结局指标和研究设计。它表明患者体验与自我评价和客观测量的健康结果之间存在正相关;遵守推荐的临床实践和药物治疗;预防性护理（例如促进健康的行为、使用筛查服务和免疫接种）;和资源使用（例如住院、住院时间和初级保健就诊）。有一些证据表明，患者的经验和措施的技术质量的护理和不良事件之间的正相关。总体而言，患者体验与患者安全性和临床有效性之间的正相关性比无相关性更常见。所提供的数据显示，患者体验与临床有效性和患者安全性呈正相关，并支持将患者体验作为医疗保健质量的核心支柱之一。它支持这样的论点，即质量的三个方面应该作为一个整体来看待，而不是孤立地看待。临床医生应该抵制将患者体验边缘化，因为它过于主观或以情绪为导向，脱离了衡量安全性和有效性的“真实的”临床工作。
To explore evidence on the links between patient experience and clinical safety and effectiveness outcomes. Systematic review. A wide range of settings within primary and secondary care including hospitals and primary care centres. A wide range of demographic groups and age groups. A broad range of patient safety and clinical effectiveness outcomes including mortality, physical symptoms, length of stay and adherence to treatment. This study, summarising evidence from 55 studies, indicates consistent positive associations between patient experience, patient safety and clinical effectiveness for a wide range of disease areas, settings, outcome measures and study designs. It demonstrates positive associations between patient experience and self-rated and objectively measured health outcomes; adherence to recommended clinical practice and medication; preventive care (such as health-promoting behaviour, use of screening services and immunisation); and resource use (such as hospitalisation, length of stay and primary-care visits). There is some evidence of positive associations between patient experience and measures of the technical quality of care and adverse events. Overall, it was more common to find positive associations between patient experience and patient safety and clinical effectiveness than no associations. The data presented display that patient experience is positively associated with clinical effectiveness and patient safety, and support the case for the inclusion of patient experience as one of the central pillars of quality in healthcare. It supports the argument that the three dimensions of quality should be looked at as a group and not in isolation. Clinicians should resist sidelining patient experience as too subjective or mood-oriented, divorced from the ‘real’ clinical work of measuring safety and effectiveness.
登录
查看更多内容
影响因子：
2.9
作者：
Burgers, Jako S.;Voerman, Gerlienke E.;Schneider, Eric C.
通讯作者：
Schneider, Eric C.
影响因子：
1.6
作者：
Clark, Noreen M.;Cabana, Michael D.;Kaciroti, Niko
通讯作者：
Kaciroti, Niko
影响因子：
5.7
作者：
Fan, VS;Reiber, GE;Fihn, SD
通讯作者：
Fihn, SD
影响因子：
3
作者：
Flocke, SA;Stange, KC;Zyzanski, SJ
通讯作者：
Zyzanski, SJ
影响因子：
5.7
作者：
Fuertes, Jairo N.;Boylan, Laura S.;Fontanella, Jessie A.
通讯作者：
Fontanella, Jessie A.