Optimizing patient involvement in quality improvement
Optimizing patient involvement in quality improvement
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DOI：
10.1111/hex.12039
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发表时间：
2013-09-01
影响因子：
3.2
通讯作者：
Martin, Graham
中科院分区：
文献类型：
--
作者：
Armstrong, Natalie;Herbert, Georgia;Martin, Graham
介绍病人和公众参与医疗保健规划，服务开发和健康相关的研究已经得到了极大的关注。然而，关于病人参与质量改进工作的作用的证据是有限的。我们的目的是表征患者参与三个改进项目，并确定对比的优点和缺点的approaches.Methods三个案例研究质量改进项目有目的地从一个更广泛的方案抽样。我们采用了民族志方法，包括126次深入访谈，12周的非参与性观察和文献分析。数据分析的基础上不断comparativemethod.Results的三个项目不同的方式，他们参与病人在他们的质量改进工作，包括他们的理由，包括病人。我们描述了三种非常不同的患者参与模式，每种模式都受到项目背景的影响。患者在这三个项目中扮演着独特的角色，在某些情况下，他们充当了更广泛的患者社区和临床医生之间的中介，有时还进行说服工作，以说服临床医生改变的必要性。我们确定了具体的策略，可以用来帮助确保病人参与最有效地工作，病人的热情，使差异dispers.Conclusion患者参与质量改进工作需要精心管理，以实现其全部潜力。
Introduction Patient and public involvement in healthcare planning, service development and health-related research has received significant attention. However, evidence about the role of patient involvement in quality improvement work is more limited. We aimed to characterize patient involvement in three improvement projects and to identify strengths and weaknesses of contrasting approaches.Methods Three case study quality improvement projects were purposively sampled from a broader programme. We used an ethnographic approach involving 126 in-depth interviews, 12weeks of non-participant observations and documentary analysis. Data analysis was based on the constant comparative method.Results The three projects differed in the ways they involved patients in their quality improvement work, including their rationales for including patients. We characterized three very different models of patient involvement, which were each influenced by project context. Patients played distinctive roles across the three projects, acting in some cases as intermediaries between the wider patient community and clinicians, and sometimes undertaking persuasive work to convince clinicians of the need for change. We identified specific strategies that can be used to help ensure that patient involvement works most effectively and that the enthusiasm of patients to make a difference is not dissipated.Conclusion Patient involvement in quality improvement work needs careful management to realize its full potential.