Involving patients in quality indicator development - a systematic review.
Involving patients in quality indicator development - a systematic review.
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DOI：
10.2147/ppa.s39803
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发表时间：
2013
影响因子：
2.2
通讯作者：
Blozik E
中科院分区：
文献类型：
--
作者：
Kötter T;Schaefer FA;Scherer M;Blozik E
质量指标（QI）用于许多医疗保健领域，以衡量，比较和改善护理质量。医疗保健提供者和患者之间的质量观念不同，但患者并没有定期参与QI开发，也没有患者参与QI开发的方法标准。在这项研究中，我们系统地回顾了医学期刊文章和灰色文献的出版方法，涉及患者在QI的发展。我们检索了医学文献数据库（Medline、Excerpta Medica数据库和护理和相关健康文献累积索引），筛选了网站，并联系了QI开发领域的专家，以获取有关患者参与QI开发方法的出版物。收录了11篇相关期刊文章和4篇网络出版文件。从文献中提取了患者参与的四种主要方法：（1）焦点小组访谈，（2）自填问卷，（3）个人访谈，（4）在系统共识过程中参与小组讨论。通过患者、患者代表或家属参与收集患者的意见。虽然有大量关于QI的文献，但描述患者参与QI发展的方法的出版物很少。原则上，患者参与的间接和直接方法是可以区分的，并且似乎最有希望的是将联合收割机不同的方法结合起来。然而，所确定的出版物数量有限，这清楚地表明，早该在这一领域开展进一步的研究，这一领域的研究报告的质量也需要提高。
Quality indicators (QI) are used in many health care areas to measure, compare, and improve the quality of care. Ideas of quality differ between health care providers and patients, yet patients are not regularly involved in QI development nor does a methodological standard for patient involvement in QI development exist. In this study we systematically reviewed the medical journal articles and gray literature for published approaches for involving patients in QI development. We searched medical literature databases (Medline, Excerpta Medica database, and Cumulative Index to Nursing and Allied Health Literature), screened websites, and contacted experts in the field of QI development for publications on approaches to patient involvement in QI development. Eleven relevant journal articles and four web-published documents were included. Four major approaches to patient involvement were extracted from the literature: (1) focus group interviews, (2) self-administered questionnaires, (3) individual interviews, and (4) participation in panels during systematic consensus processes. Patients’ views were collected by involving patients, patient representatives, or family members. Although there is a large body of literature on QI, publications that describe approaches to patient involvement in QI development are scarce. In principle, indirect and direct methods of patient involvement can be distinguished, and it seems most promising to combine different approaches. However, the limited number of publications identified clearly shows that further research in this field is overdue and that the quality of reporting found in studies within this field needs to be improved.