Patient and family engagement: a survey of US hospital practices.
Patient and family engagement: a survey of US hospital practices.
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DOI：
10.1136/bmjqs-2015-004006
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发表时间：
2016-03
影响因子：
5.4
通讯作者：
Frosch DL
中科院分区：
文献类型：
--
作者：
Herrin J;Harris KG;Kenward K;Hines S;Joshi MS;Frosch DL
患者和家庭参与（PFE）在医疗保健是一个重要的要素，转变医疗保健系统；然而，各种PFE做法在美国的流行程度尚不清楚。我们报告了一项关于2013-2014年美国医院PFE实践的调查。应答率为42%，1457家急症医院完成了调查。我们构建了25个项目来总结关于关键实践的回应，这些实践分为三大类：(1)组织实践，(2)床边实践和(3)获取信息和共享决策。我们发现各医院的得分差异很大。选定的调查结果包括：86%的医院至少在一些单位有不受限制的访客访问政策；68%的医生鼓励患者/家属参与轮班报告；67%的公司有披露错误和为错误道歉的正式政策；38%的人有病人和家属咨询委员会。增加PFE最常见的障碍是“竞争的组织优先事项”。我们的研究结果表明，医院在实施PFE实践方面存在很大差异，相互竞争的组织优先事项是采用PFE的最常见障碍。
Patient and family engagement (PFE) in healthcare is an important element of the transforming healthcare system; however, the prevalence of various PFE practices in the USA is not known. We report on a survey of hospitals in the USA regarding their PFE practices during 2013–2014. The response rate was 42%, with 1457 acute care hospitals completing the survey. We constructed 25 items to summarise the responses regarding key practices, which fell into three broad categories: (1) organisational practices, (2) bedside practices and (3) access to information and shared decision-making. We found a wide range of scores across hospitals. Selected findings include: 86% of hospitals had a policy for unrestricted visitor access in at least some units; 68% encouraged patients/families to participate in shift-change reports; 67% had formal policies for disclosing and apologising for errors; and 38% had a patient and family advisory council. The most commonly reported barrier to increased PFE was ‘competing organisational priorities’. Our findings indicate that there is a large variation in hospital implementation of PFE practices, with competing organisational priorities being the most commonly identified barrier to adoption.