关键词: advocacy medical association medical society patient partners patient-centered care physician compensation

来  源:   DOI:10.7759/cureus.54400   PDF(Pubmed)

Abstract:
In recent years health systems have engaged patient partners in decision-making. Provincial and Territorial Medical Associations (PTMAs) are the sole bargaining agents for physicians. PTMA negotiations with governments are often seen as insular. Adding the patient perspective could add tremendous value to negotiating committees, etc. as PTMAs look to advocate for person-centered care provided by their members. Using rapid scoping review methodology, PubMed was searched for studies reporting on the use of patient partners in PTMA decision-making. Title and abstract screening were conducted by a single reviewer with full-text review screened by two reviewers. The search yielded 231 titles with 10 moving to full-text review and ultimately no titles meeting inclusion criteria. This empty scoping review has identified a paucity of literature reporting on patient engagement in PTMA decision-making. Further research is required to determine the utility of introducing patient partners in this capacity.
摘要:
近年来,卫生系统使患者合作伙伴参与决策。省和地区医疗协会(PTMA)是医生的唯一讨价还价代理。与政府的PTMA谈判通常被视为孤立。增加患者的观点可以为谈判委员会增加巨大的价值,等。PTMA希望倡导其成员提供以人为本的护理。使用快速范围审查方法,在PubMed中搜索了报告患者伴侣在PTMA决策中使用的研究。标题和摘要筛选由一名审阅者进行,全文审阅由两名审阅者筛选。搜索产生了231个标题,其中10个已移至全文审查,最终没有符合纳入标准的标题。这项空洞的范围审查发现,关于患者参与PTMA决策的文献报道很少。需要进一步的研究来确定以这种身份引入患者伴侣的效用。
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