PDF(Pubmed)
Abstract：
UNASSIGNED: Patients worldwide experience fragmented and uncoordinated care as they transition between primary and acute care. To improve system integration and outcomes for patients, in 2017/2018 Alberta Health Services (largest health services delivery organization in Canada) called for a coordinated approach to improve transitions in care (TiC). Healthcare leadership responded by initiating the development of a province-wide guideline outlining core components of effective transitions in care. This case study highlights the extensive design process used to develop this guideline, with a focus on the participatory design (PD) approach used throughout.
UNASSIGNED: An iterative, mixed methods PD approach was used to engage over 750 stakeholders through the following activities to establish Guideline content: i) learning collaborative; ii) design-team; iii) targeted online surveys; iv) primary care stakeholder consultation; v) modified Delphi panel; and vi) patient advisory committee.
UNASSIGNED: The result was Alberta\'s first guideline for supporting patients through TiC: \"Alberta\'s Home to Hospital to Home Transitions Guideline\".
UNASSIGNED: The extensive design process used to create the Guideline was instrumental in establishing content, encouraging system integration, and creating conditions to support provincial implementation. While intended to improve and standardize patient care in Alberta, the methods used and lessons learned throughout the development of the Guideline are applicable internationally.
UNASSIGNED: An iterative, mixed methods PD approach was used to engage over 750 stakeholders through the following activities to establish Guideline content: i) learning collaborative; ii) design-team; iii) targeted online surveys; iv) primary care stakeholder consultation; v) modified Delphi panel; and vi) patient advisory committee.
UNASSIGNED: The result was Alberta\'s first guideline for supporting patients through TiC: \"Alberta\'s Home to Hospital to Home Transitions Guideline\".
UNASSIGNED: The extensive design process used to create the Guideline was instrumental in establishing content, encouraging system integration, and creating conditions to support provincial implementation. While intended to improve and standardize patient care in Alberta, the methods used and lessons learned throughout the development of the Guideline are applicable internationally.
摘要：
■全球患者在初级护理和急性护理之间过渡时会经历支离破碎和不协调的护理。为了改善患者的系统集成和预后，2017/2018年,AlbertaHealthServices(加拿大最大的卫生服务提供组织)呼吁采取协调一致的方法来改善医疗过渡(TiC).医疗保健领导层通过启动制定全省范围的指南来做出回应，该指南概述了有效医疗过渡的核心组成部分。本案例研究强调了用于开发本指南的广泛设计过程，重点是贯穿始终使用的参与式设计(PD)方法。
■迭代，使用混合方法PD方法通过以下活动与750多名利益相关者进行互动,以建立指南内容:i)学习协作;ii)设计团队;iii)有针对性的在线调查;iv)初级保健利益相关者咨询;v)修改后的德尔福小组;和vi)患者咨询委员会。
■结果是艾伯塔省通过TiC支持患者的第一个指南：“艾伯塔省从医院到家庭过渡指南”。
■用于创建指南的广泛设计过程有助于建立内容，鼓励系统集成，创造条件支持省级实施。虽然旨在改善和规范艾伯塔省的患者护理，准则制定过程中使用的方法和吸取的教训在国际上适用。
■迭代，使用混合方法PD方法通过以下活动与750多名利益相关者进行互动,以建立指南内容:i)学习协作;ii)设计团队;iii)有针对性的在线调查;iv)初级保健利益相关者咨询;v)修改后的德尔福小组;和vi)患者咨询委员会。
■结果是艾伯塔省通过TiC支持患者的第一个指南：“艾伯塔省从医院到家庭过渡指南”。
■用于创建指南的广泛设计过程有助于建立内容，鼓励系统集成，创造条件支持省级实施。虽然旨在改善和规范艾伯塔省的患者护理，准则制定过程中使用的方法和吸取的教训在国际上适用。
