USING PATIENT FOCUS GROUPS FOR NEW PATIENT SERVICES
USING PATIENT FOCUS GROUPS FOR NEW PATIENT SERVICES
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DOI：
10.1016/s1070-3241(16)30124-9
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发表时间：
1995-01-01
期刊：
影响因子：
--
通讯作者：
BECK, SL
中科院分区：
文献类型：
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作者：
SMITH, JA;SCAMMON, DL;BECK, SL
本文的目的是说明病人的投入在战略规划过程中的有用性，并特别证明使用焦点小组的概念发展，概念测试，和程序evaluation.Interactive规划：三个领域的病人服务的设计部分病人投入的基础上。“有适当资源的服务队”（STAR）被认为是提供跨学科护理以满足特定患者群体需求的基本组织单位。设想了患者服务“菜单"，以允许患者或护理人员决定哪种服务将允许患者或护理人员决定哪种服务将最适当和有效地满足患者需求。制定了“服务期望计划”，通过提供有关患者应该从医院体验中期望什么的信息，使患者更容易进入医院。概念测试：再次使用焦点小组来测试和完善在互动规划阶段开发的概念。一般的主题包括需要改善沟通，希望得到尊重和尊严（人格），需要在整个护理的连续性协调，并希望更多的个人选择和控制。正在进行的评价：在正在进行的评价过程中使用的患者反馈来源包括患者满意度调查和电话调查。管理问题：与患者的焦点小组讨论将有用的数据引入质量改进和互动规划过程。调查结果通过通讯、报告和在职培训课程传播给各级医院管理人员和项目工作人员。数据在交互式规划、项目概念测试以及新服务的开发和实施中非常有用。
This article is intended to illustrate the usefulness of patient input in the strategic planning process and to demonstrate in particular the use of focus groups in concept development, concept testing, and program evaluation.Interactive planning: Three areas of patient services were designed partly on the basis of patient input. ''Service Teams with Appropriate Resources'' (STARs) were conceived as basic organizational units to deliver interdisciplinary care to meet the needs of specific groups of patients. A patient services ''menu'' was envisioned to allow the patient or caregiver to decide which service would allow the patient or caregiver to decide which service would most appropriately and efficiently meet patient needs. The ''Service Expectation Program'' was formulated to ease entry into the hospital by providing information on what patients should expect from the hospital experience.Concept testing: Focus groups were used again to test and refine the concepts developed during the interactive planning stage. General themes included the need for improved communication, the desire to be treated with respect and dignity (personhood), the need for coordination across the continuum of care, and the desire for more personal choice and control.Ongoing evaluation: Sources of patient feedback used in the ongoing evaluation process included a patient satisfaction survey and a telephone survey. Additional focus groups and telephone surveys are planned.Management issues: The focus group discussions with patients introduced useful data into the quality improvement and interactive planning process. Findings were disseminated to all levels of hospital management and program staff through newsletters, reports, and in-service training sessions. Data were useful in interactive planning, program concept testing, and the development and implementation of new services.