促进医疗行业以患者为中心的战略:基于灰色的多标准决策方法。

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Mohsen Khosravi, Reyhane Izadi, Payam Shojaei, Sajad Delavari
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引用次数: 0

摘要

理由:最近,国际政策议程倡导在提供医疗服务时发展以病人为中心的理念。因此,医疗保健系统中的各利益相关方都表示亟需确定能够加强以患者为中心的策略和工具:本文旨在确定可改善医疗服务中以患者为中心的策略的优先次序和基准:我们采用了一种多阶段研究方案,包括两个阶段:一个阶段包括范围审查,以确定当前改善以患者为中心(PC)的策略;另一个阶段包括多标准最佳-最差法,以分配PC原则的权重,并对专家样本进行问卷调查,使用灰色多属性边界逼近区域比较法(MABAC-G)对文献中得出的策略进行基准测试:结果:以患者为中心的最重要原则被认为是获得医疗服务,而远程医疗工具和电子健康信息系统分别被认为是促进以患者为中心的最有效平台:我们建议医疗保健行业的管理者和政策制定者优先实施和研究远程医疗工具和电子健康信息系统等策略,以提高医疗保健系统的可及性和以患者为中心的原则。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Strategies to promote patient-centeredness within the healthcare industry: A grey-based multicriteria decision making methods.

Rationale: The international policy agenda has recently advocated for the development of patient-centeredness in healthcare service delivery. Consequently, various stakeholders in the healthcare systems have expressed a vital need for identifying strategies and tools that can enhance patient-centeredness.

Aims and objectives: The objective of this paper was to prioritise and benchmark the strategies that can improve patient-centeredness in healthcare service delivery.

Method: We employed a multi-stage research scenario that consisted of two phases: a phase including of a scoping review to identify the current strategies to improve patient-centeredness (PC); And, a phase including of a multicriteria best-worst method to assign weights to PC principles, and a questionnaire administered to a sample of experts for benchmarking the strategies derived from the literature using the Grey Multi-Attributive Border Approximation Area Comparison (MABAC-G) method.

Results: The most important principle of patient-centeredness was deemed to be access to care, while telehealth tools and Electronic Health Information Systems were respectively suggested as the most efficacious platforms for promoting patient-centeredness.

Conclusion: We recommend that administrators and policy makers in the healthcare industry prioritise the implementation and research of strategies such as telehealth tools and electronic health information systems to enhance access and patient-centeredness in the healthcare systems.

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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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