Which experiences of health care delivery matter to service users and why? A critical interpretive synthesis and conceptual map.
Which experiences of health care delivery matter to service users and why? A critical interpretive synthesis and conceptual map.
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DOI：
10.1258/jhsrp.2011.011029
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发表时间：
2012-04
影响因子：
2.4
通讯作者：
Kinghorn P
中科院分区：
文献类型：
--
作者：
Entwistle V;Firnigl D;Ryan M;Francis J;Kinghorn P
病人的经验往往被视为医疗保健质量指标。我们的目的是确定一系列的医疗保健服务的经验，重要的病人，并产生一个概念图，以方便考虑为什么他们的重要性。对患者对医疗保健服务的看法的研究文献进行广泛的回顾和批判性的解释性综合。我们记录了各种各样的患者在“概念卡”上报告的经验，考虑了为什么它们很重要，并探索了组织它们的各种方式，包括国际公认的医疗质量框架。我们开发了一个概念图，并根据利益相关者的反馈进行了改进。患者认为许多医疗保健经验很重要。现有的医疗保健质量框架并没有涵盖所有这些方面。我们的概念图展示了丰富的经验，包括医疗保健关系（超越沟通）及其对人们有价值的能力的影响（例如，感受到尊重，为他们的护理做出贡献，体验互惠）。它的组织是为了反映我们的综合论点，它将医疗保健的提供与人们能够（或不能）感受，成为和做什么联系起来。该地图突出了卫生保健提供的社会动态的广泛影响。从病人的角度对经验进行标记，使对个人的反应的重要性不言自明。我们的概念图识别并帮助解释医疗保健服务的不同经验的重要性。它要求并帮助决策者、服务提供者和研究人员关注一系列重要的经验，并认真对待对个人作出反应的必要性。
Patients' experiences are often treated as health care quality indicators. Our aim was to identify the range of experiences of health care delivery that matter to patients and to produce a conceptual map to facilitate consideration of why they matter. Broad-based review and critical interpretive synthesis of research literature on patients' perspectives of health care delivery. We recorded experiences reported by a diverse range of patients on ‘concept cards’, considered why they were important, and explored various ways of organizing them, including internationally recognized health care quality frameworks. We developed a conceptual map that we refined with feedback from stakeholders. Patients identify many health care experiences as important. Existing health care quality frameworks do not cover them all. Our conceptual map presents a rich array of experiences, including health care relationships (beyond communication) and their implications for people's valued capabilities (e.g. to feel respected, contribute to their care, experience reciprocity). It is organized to reflect our synthesis argument, which links health care delivery to what people are enabled (or not) to feel, be and do. The map highlights the broad implications of the social dynamics of health care delivery. Experiences are labelled from a patient's perspective, rendering the importance of responsiveness to individuals axiomatic. Our conceptual map identifies and helps explain the importance of diverse experiences of health care delivery. It challenges and helps policy-makers, service providers and researchers to attend to the range of experiences that matter, and to take seriously the need for responsiveness to individuals.
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影响因子：
4.2
作者：
Gilmartin, Jo;Wright, Kerrie
通讯作者：
Wright, Kerrie
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105.7
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通讯作者：
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4.2
作者：
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