Exploring patient perspectives: A qualitative inquiry into healthcare perceptions, experiences and satisfaction in Lebanon.
Exploring patient perspectives: A qualitative inquiry into healthcare perceptions, experiences and satisfaction in Lebanon.
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DOI：
10.1371/journal.pone.0280665
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
Emmelin, Maria
中科院分区：
文献类型：
--
作者：
Khalife, Jade;Ekman, Björn;Ammar, Walid;El-Jardali, Fadi;Al Halabi, Abeer;Barakat, Elise;Emmelin, Maria
在过去的四十年里，病人的观点在卫生系统中越来越重要。通常使用患者体验和满意度的测量。然而，这些措施并没有捕捉到通过与患者接触获得的所有信息。需要更好地理解各种类型的患者观点以及它们之间的区别。缺乏这种知识限制了将病人观点作为按业绩计薪举措的组成部分的有用性。本研究旨在探讨黎巴嫩患者对医院护理的看法。它还旨在提供见解，可能会改善国家按绩效付费倡议，并了解如何让患者参与以人为本的卫生系统。我们进行了一项定性研究，使用焦点小组讨论的人最近出院后，在黎巴嫩公共卫生部的覆盖范围内住院。这项研究于2017年实施，涉及八个焦点小组的42名参与者。定性内容分析被用来分析参与者提供的信息。确定了由17个类别支持的五个总主题，捕捉了参与者观点的含义：健康就是一切;被变成二等公民;金钱和人际关系使一切都不同;希望得到尊严和尊重;为了正确的待遇而容忍失望。在关于患者满意度的排名练习中，最常见的优先级声明是与患者的医生定期联系。病人的观点包括比传统上纳入病人满意度和经验的措施。还应考虑到患者对健康的重视及其对每个卫生系统的看法，以及获得护理的机会和质量。通过更广泛地考虑这些观点，可以使医院绩效工资计划更具响应性。更广泛地说，卫生系统将受益于患者更广泛的参与。我们提出了一个框架，病人的观点，以价值为基础的医疗保健和卫生系统的性能。
Patient perspectives have received increasing importance within health systems over the past four decades. Measures of patient experience and satisfaction are commonly used. However, these measures do not capture all the information that is available through engaging with patients. An improved understanding of the various types of patient perspectives and the distinctions between them is needed. The lack of such knowledge limits the usefulness of including patient perspectives as components within pay-for-performance initiatives. This study aimed to explore patient perspectives on hospital care in Lebanon. It also aimed to contribute insights that may improve the national pay-for-performance initiative and to the knowledge on engaging patients towards person-centered health systems. We conducted a qualitative study using focus group discussions with persons recently discharged after hospitalization under the coverage of the Lebanese Ministry of Public Health. This study was implemented in 2017 and involved 42 participants across eight focus groups. Qualitative content analysis was used to analyze the information provided by participants. Five overall themes supported by 17 categories were identified, capturing the meaning of the participants’ perspectives: health is everything; being turned into second class citizens; money and personal connections make all the difference; wanting to be treated with dignity and respect; and tolerating letdown, for the sake of right treatment. The most frequently prioritized statement in a ranking exercise regarding patient satisfaction was regular contact with the patient’s doctor. Patient perspectives include more than what is traditionally incorporated in measures of patient satisfaction and experience. Patient valuing of health and their perceptions on each of the health system, and access and quality of care should also be taken into account. Hospital pay-for-performance initiatives can be made more responsive through a broader consideration of these perspectives. More broadly, health systems would benefit from wider engagement of patients. We propose a framework relating patient perspectives to value-based healthcare and health system performance.
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