A Systematic Review of Surveys for Measuring Patient-centered Care in the Hospital Setting.
A Systematic Review of Surveys for Measuring Patient-centered Care in the Hospital Setting.
复制标题
测量医院环境中以患者为中心的护理调查的系统评价。
DOI：
10.1097/mlr.0000000000001474
复制
发表时间：
2021-03-01
期刊：
影响因子：
3
通讯作者：
Nembhard IM
中科院分区：
文献类型：
--
作者：
Handley SC;Bell S;Nembhard IM
以患者为中心的护理(PCC)是高质量护理的核心组成部分，其测量是研究和改进工作的基础。然而，作为核心护理环境的医院，没有衡量PCC的调查清单。确定用于在医院评估PCC的调查，评估其捕获的PCC维度，报告其心理测量特性，并评估对个体和/或二元(例如，怀孕期间的母婴配对)患者的适用性。我们对2019年1月之前发表在PubMed、Web of Science和EBSCO host上的文章和摘录论文的参考文献进行了系统的审查，以确定用于衡量“以患者为中心的护理”或“以家庭为中心的护理”的调查。在医院中使用的调查和捕捉至少三个维度的PCC，如Picker研究所所阐述的，被包括在内并进行了全面的审查。对调查的描述、子量表、PCC维度、心理测量学特性以及对个体和二元患者的适用性进行评估。614篇文章中有13篇符合纳入标准。确定了9项调查，旨在获得患者/家属(n=5)、医院工作人员(n=2)以及患者/家属和医院工作人员(n=2)的评估。没有一项调查涵盖了PCC的全部八个Picker维度(中位数=6[范围5-7])。心理测量学特性的报道很少。所有的调查都适用于个人患者，没有一项适用于二元患者。有多项调查可用于在医院测量PCC。有机会提高调查的综合性，关于PCC的维度，心理测量特性的报告，以及为二元患者制定捕获PCC的措施。
Patient-centered care (PCC) is a core component of quality care and its measurement is fundamental for research and improvement efforts. However, an inventory of surveys for measuring PCC in hospitals, a core care setting, is not available. To identify surveys for assessing PCC in hospitals, assess PCC dimensions that they capture, report their psychometric properties, and evaluate applicability to individual and/or dyadic (e.g., mother-infant pairs in pregnancy) patients. We conducted a systematic review of articles published before January 2019 available on PubMed, Web of Science, and EBSCO Host and references of extracted papers to identify surveys used to measure “patient-centered care” or “family-centered care.” Surveys used in hospitals and capturing at least three dimensions of PCC, as articulated by the Picker Institute, were included and reviewed in full. Surveys’ descriptions, subscales, PCC dimensions, psychometric properties, and applicability to individual and dyadic patients were assessed. Thirteen of 614 articles met inclusion criteria. Nine surveys were identified, which were designed to obtain assessments from patients/families (n=5), hospital staff (n=2), and both patients/families and hospital staff (n=2). No survey captured all eight Picker dimensions of PCC (median=6 [range 5–7]). Psychometric properties were reported infrequently. All surveys applied to individual patients, none to dyadic patients. Multiple surveys for measuring PCC in hospitals are available. Opportunities exist to improve survey comprehensiveness regarding dimensions of PCC, reporting of psychometric properties, and development of measures to capture PCC for dyadic patients.