肌肉骨骼疾病患者对其医疗保健提供者和卫生服务经验的看法:综述

IF 2.1 Q1 REHABILITATION
Archives of physiotherapy Pub Date : 2020-09-24 eCollection Date: 2020-01-01 DOI:10.1186/s40945-020-00088-6
Alan Chi-Lun-Chiao, Mohammed Chehata, Kenneth Broeker, Brendan Gates, Leila Ledbetter, Chad Cook, Malene Ahern, Daniel I Rhon, Alessandra N Garcia
{"title":"肌肉骨骼疾病患者对其医疗保健提供者和卫生服务经验的看法:综述","authors":"Alan Chi-Lun-Chiao,&nbsp;Mohammed Chehata,&nbsp;Kenneth Broeker,&nbsp;Brendan Gates,&nbsp;Leila Ledbetter,&nbsp;Chad Cook,&nbsp;Malene Ahern,&nbsp;Daniel I Rhon,&nbsp;Alessandra N Garcia","doi":"10.1186/s40945-020-00088-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>This overview of reviews aimed to identify (1) aspects of the patient experience when seeking care for musculoskeletal disorders from healthcare providers and the healthcare system, and (2) which mechanisms are used to measure aspects of the patient experience.</p><p><strong>Data sources: </strong>Four databases were searched from inception to December 20th, 2019.</p><p><strong>Review methods: </strong>Systematic or scoping reviews examining patient experience in seeking care for musculoskeletal from healthcare providers and the healthcare system were included. Independent authors screened and selected studies, extracted data, and assessed the methodological quality of the reviews. Patient experience concepts were compiled into five themes from a perspective of a) <i>relational</i> and b) <i>functional</i> aspects. A list of mechanisms used to capture the patient experience was also collected.</p><p><strong>Results: </strong>Thirty reviews were included (18 systematic and 12 scoping reviews). Relational aspects were reported in 29 reviews and functional aspects in 25 reviews. For relational aspects, the most prevalent themes were \"information needs\" (education and explanation on diseases, symptoms, and self-management strategies) and \"understanding patient expectations\" (respect and empathy). For functional aspects, the most prevalent themes were patient's \"physical and environmental needs,\" (cleanliness, safety, and accessibility of clinics), and \"trusted expertise,\" (healthcare providers' competence and clinical skills to provide holistic care). Interviews were the most frequent mechanism identified to collect patient experience.</p><p><strong>Conclusions: </strong>Measuring patient experience provides direct insights about the patient's perspectives and may help to promote better patient-centered health services and increase the quality of care. Areas of improvement identified were interpersonal skills of healthcare providers and logistics of health delivery, which may lead to a more desirable patient-perceived experience and thus better overall healthcare outcomes.</p><p><strong>Trial registration: </strong><b>Systematic review registration: PROSPERO</b> (CRD42019136500).</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"10 ","pages":"17"},"PeriodicalIF":2.1000,"publicationDate":"2020-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40945-020-00088-6","citationCount":"9","resultStr":"{\"title\":\"Patients' perceptions with musculoskeletal disorders regarding their experience with healthcare providers and health services: an overview of reviews.\",\"authors\":\"Alan Chi-Lun-Chiao,&nbsp;Mohammed Chehata,&nbsp;Kenneth Broeker,&nbsp;Brendan Gates,&nbsp;Leila Ledbetter,&nbsp;Chad Cook,&nbsp;Malene Ahern,&nbsp;Daniel I Rhon,&nbsp;Alessandra N Garcia\",\"doi\":\"10.1186/s40945-020-00088-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>This overview of reviews aimed to identify (1) aspects of the patient experience when seeking care for musculoskeletal disorders from healthcare providers and the healthcare system, and (2) which mechanisms are used to measure aspects of the patient experience.</p><p><strong>Data sources: </strong>Four databases were searched from inception to December 20th, 2019.</p><p><strong>Review methods: </strong>Systematic or scoping reviews examining patient experience in seeking care for musculoskeletal from healthcare providers and the healthcare system were included. Independent authors screened and selected studies, extracted data, and assessed the methodological quality of the reviews. Patient experience concepts were compiled into five themes from a perspective of a) <i>relational</i> and b) <i>functional</i> aspects. A list of mechanisms used to capture the patient experience was also collected.</p><p><strong>Results: </strong>Thirty reviews were included (18 systematic and 12 scoping reviews). Relational aspects were reported in 29 reviews and functional aspects in 25 reviews. For relational aspects, the most prevalent themes were \\\"information needs\\\" (education and explanation on diseases, symptoms, and self-management strategies) and \\\"understanding patient expectations\\\" (respect and empathy). For functional aspects, the most prevalent themes were patient's \\\"physical and environmental needs,\\\" (cleanliness, safety, and accessibility of clinics), and \\\"trusted expertise,\\\" (healthcare providers' competence and clinical skills to provide holistic care). Interviews were the most frequent mechanism identified to collect patient experience.</p><p><strong>Conclusions: </strong>Measuring patient experience provides direct insights about the patient's perspectives and may help to promote better patient-centered health services and increase the quality of care. Areas of improvement identified were interpersonal skills of healthcare providers and logistics of health delivery, which may lead to a more desirable patient-perceived experience and thus better overall healthcare outcomes.</p><p><strong>Trial registration: </strong><b>Systematic review registration: PROSPERO</b> (CRD42019136500).</p>\",\"PeriodicalId\":72290,\"journal\":{\"name\":\"Archives of physiotherapy\",\"volume\":\"10 \",\"pages\":\"17\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2020-09-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1186/s40945-020-00088-6\",\"citationCount\":\"9\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of physiotherapy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s40945-020-00088-6\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2020/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of physiotherapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40945-020-00088-6","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2020/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 9

摘要

目的:本综述旨在确定(1)从医疗保健提供者和医疗保健系统寻求肌肉骨骼疾病护理时患者体验的各个方面,以及(2)哪些机制用于测量患者体验的各个方面。数据来源:检索自成立至2019年12月20日的四个数据库。回顾方法:系统的或范围的回顾检查患者的经验,寻求医疗保健提供者和医疗保健系统的肌肉骨骼。独立作者筛选和选择研究,提取数据,并评估综述的方法学质量。患者体验概念从a)关系和b)功能方面的角度汇编为五个主题。还收集了用于捕捉患者体验的机制列表。结果:共纳入30篇综述(18篇系统综述,12篇范围综述)。29篇综述报道了关系方面,25篇综述报道了功能方面。在关系方面,最普遍的主题是“信息需求”(关于疾病、症状和自我管理策略的教育和解释)和“理解患者期望”(尊重和同情)。在功能方面,最普遍的主题是患者的“身体和环境需求”(清洁、安全和诊所的可及性),以及“值得信赖的专业知识”(医疗保健提供者提供整体护理的能力和临床技能)。访谈是收集患者经验最常见的机制。结论:测量患者体验提供了对患者观点的直接见解,可能有助于促进更好的以患者为中心的卫生服务,提高护理质量。确定的改进领域是医疗保健提供者的人际交往技巧和医疗服务的后勤,这可能导致更理想的患者感知体验,从而更好的整体医疗保健结果。试验注册:系统评价注册:PROSPERO (CRD42019136500)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Patients' perceptions with musculoskeletal disorders regarding their experience with healthcare providers and health services: an overview of reviews.

Patients' perceptions with musculoskeletal disorders regarding their experience with healthcare providers and health services: an overview of reviews.

Objectives: This overview of reviews aimed to identify (1) aspects of the patient experience when seeking care for musculoskeletal disorders from healthcare providers and the healthcare system, and (2) which mechanisms are used to measure aspects of the patient experience.

Data sources: Four databases were searched from inception to December 20th, 2019.

Review methods: Systematic or scoping reviews examining patient experience in seeking care for musculoskeletal from healthcare providers and the healthcare system were included. Independent authors screened and selected studies, extracted data, and assessed the methodological quality of the reviews. Patient experience concepts were compiled into five themes from a perspective of a) relational and b) functional aspects. A list of mechanisms used to capture the patient experience was also collected.

Results: Thirty reviews were included (18 systematic and 12 scoping reviews). Relational aspects were reported in 29 reviews and functional aspects in 25 reviews. For relational aspects, the most prevalent themes were "information needs" (education and explanation on diseases, symptoms, and self-management strategies) and "understanding patient expectations" (respect and empathy). For functional aspects, the most prevalent themes were patient's "physical and environmental needs," (cleanliness, safety, and accessibility of clinics), and "trusted expertise," (healthcare providers' competence and clinical skills to provide holistic care). Interviews were the most frequent mechanism identified to collect patient experience.

Conclusions: Measuring patient experience provides direct insights about the patient's perspectives and may help to promote better patient-centered health services and increase the quality of care. Areas of improvement identified were interpersonal skills of healthcare providers and logistics of health delivery, which may lead to a more desirable patient-perceived experience and thus better overall healthcare outcomes.

Trial registration: Systematic review registration: PROSPERO (CRD42019136500).

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.60
自引率
0.00%
发文量
0
审稿时长
10 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信