SSブログ

管理レベルの患者参画/なんせ、眠い

熱心な読者なら覚えておいででしょうが、医療は患者・家族と医療者の共同の営み、パートナーシップであり、狭い個別の診療のレベルから、病院の運営・経営、患者・医療安全、職員の育成、研究、社会制度すべてに貫かれる者だと私が言っていたことを.で、それが世迷い言ではない話.世界的な潮流です↓


海外論文紹介
管理レベルの患者参画:スウェーデンの地域がんセンターにおける患者・家族諮問委員会の効果
小松 康宏
 医療の質・安全学会誌/17 巻 (2022) 1 号




・↑の最初に、「患者参加型医療,すなわち医療への患者参加は今や国際的な潮流である.患者が医療に参加することは,「自分たちに関係することは自分たちの意見も反映させてほしい」という倫理的な要請に応えるだけでなく,医療の質と安全を向上させ,医療資源の適正利用につながると考えられている.」と書かれています.まさに、私が長年言ってきたことです.(言ってるだけで、論文にしてないのがいかん)で、紹介されている論文が↓


Patient And Family Engagement: A Framework For Understanding The Elements And Developing Interventions And Policies
Kristin L. Carman, Pam Dardess, Maureen Maurer, Shoshanna Sofaer, Karen Adams, Christine Bechtel, and Jennifer Sweeney
HEALTH AFFAIRSVOL. 32, NO. 2: NEW ERA OF PATIENT ENGAGEMENT




【Abstract】
Patient and family engagement offers a promising pathway toward better-quality health care, more-efficient care, and improved population health. Since definitions of patient engagement and conceptions of how it works vary, we propose a framework. We first present the forms engagement can take, ranging from consultation to partnership. We discuss the levels at which patient engagement can occur across the health care system, from the direct care setting to incorporating patient engagement into organizational design, governance, and policy making. We also discuss the factors that influence whether and to what extent engagement occurs. We explore the implications of our multidimensional framework for the development of interventions and policies that support patient and family engagement, and we offer a research agenda to investigate how such engagement leads to improved outcomes.
Patient and family engagement: a survey of US hospital practices
Jeph Herrin, Kathleen G Harris, Kevin Kenward, Stephen Hines, Maulik S Joshi, Dominick L Frosch
【Abstract】
Background Patient and family engagement (PFE) in healthcare is an important element of the transforming healthcare system; however, the prevalence of various PFE practices in the USA is not known.
Objective We report on a survey of hospitals in the USA regarding their PFE practices during 2013–2014.
Results The response rate was 42%, with 1457 acute care hospitals completing the survey. We constructed 25 items to summarise the responses regarding key practices, which fell into three broad categories: (1) organisational practices, (2) bedside practices and (3) access to information and shared decision-making. We found a wide range of scores across hospitals. Selected findings include: 86% of hospitals had a policy for unrestricted visitor access in at least some units; 68% encouraged patients/families to participate in shift-change reports; 67% had formal policies for disclosing and apologising for errors; and 38% had a patient and family advisory council. The most commonly reported barrier to increased PFE was ‘competing organisational priorities’.
Summary Our findings indicate that there is a large variation in hospital implementation of PFE practices, with competing organisational priorities being the most commonly identified barrier to adoption.
・実は、英語の論文はまだ読んでいないので、これから読みます.ちなみに両方ともfreeです.
以下日記
・本日11/7(月)は、6時起床.午前中は主に"Causal Inference: What If"を訳しておりました.午後から出勤し、回診、夜間診療でした.夜間診療は結構?繁盛してお二人様入院です.帰宅は20時半前.いつものようにネコたちに餌をやってきてから入浴、夕食.録画の『孤独のグルメ』を観ておりました.その後このブログを書いております.今、とても眠い.読みかけの文献を読み終えたかったのですが、明日朝早く起きて(できるか?)読むことにします.これから、歯磨きしてサッサと寝ます.

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