PDF(Pubmed)
Abstract：
BACKGROUND: The quality of hospital care, especially surgery, is traditionally assessed using indicators derived from healthcare databases or safety indicators. Given the growing importance of placing the patient at the heart of care evaluation, the use of questionnaires such as the Patient-Reported Experience Measures and Patient-Reported Outcome Measures has become widespread in recent years. However, these tools-addressing factors such as satisfaction, pain management or wait times-only imperfectly reflect the patient\'s experience, and all such attempts at patient-centred care quality assessment rely on questions or indicators defined in advance by healthcare providers and health authorities. A biopsychosocial model may allow to better understand the patient experience and to improve care pathways. This study seeks to construct a narrative of the bariatric surgical care journey with instruments from narrative inquiry, propose a metanarrative that can serve as a basis for more sophisticated and reliable patient-focused care quality models and define indicators linked to patients\' feelings and stories.
METHODS: To achieve these aims, 16 bariatric surgical patients at the hospital of Créteil, France (Centre Hospitalier Intercommunal de Créteil), will be included and interviewed once before and twice after surgery, at months 3 and 6. Narratives collected will be used to construct a metanarrative intended to encompass all possible narratives. This metanarrative may ultimately inform new patient care quality indicators, furthering care focused on patients and tailored to their needs and predispositions.
BACKGROUND: The study is funded by the Group of Clinical Research and Innovation in Île-de-France and was approved by CPP SUD-EST VI Clermont-Ferrand (France) Research Ethics Committee. The results will be submitted for publication in peer-reviewed journals. The patient associations will be approached for the dissemination of the study results.
BACKGROUND: NCT05092659.
METHODS: To achieve these aims, 16 bariatric surgical patients at the hospital of Créteil, France (Centre Hospitalier Intercommunal de Créteil), will be included and interviewed once before and twice after surgery, at months 3 and 6. Narratives collected will be used to construct a metanarrative intended to encompass all possible narratives. This metanarrative may ultimately inform new patient care quality indicators, furthering care focused on patients and tailored to their needs and predispositions.
BACKGROUND: The study is funded by the Group of Clinical Research and Innovation in Île-de-France and was approved by CPP SUD-EST VI Clermont-Ferrand (France) Research Ethics Committee. The results will be submitted for publication in peer-reviewed journals. The patient associations will be approached for the dissemination of the study results.
BACKGROUND: NCT05092659.
摘要：
背景：医院护理质量，尤其是手术,传统上使用来自医疗保健数据库或安全指标的指标进行评估。鉴于将患者置于护理评估的核心越来越重要，近年来，诸如患者报告的经验措施和患者报告的结果措施之类的问卷的使用已变得普遍。然而,这些工具-解决因素，如满意度，疼痛管理或等待时间-仅不完美地反映患者的体验，所有这些以患者为中心的护理质量评估的尝试都依赖于医疗保健提供者和卫生当局事先定义的问题或指标。生物心理社会模型可以允许更好地理解患者体验并改善护理途径。这项研究旨在通过叙事探究的工具来构建减肥手术护理旅程的叙事，提出一个元叙事，可以作为更复杂和可靠的以患者为中心的护理质量模型的基础，并定义与患者的感受和故事相关的指标。
方法：为了实现这些目标，Créteil医院的16名减肥手术患者，法国（社区间医院中心），将包括在手术前和手术后两次采访，在3个月和6个月。收集的叙事将用于构建旨在涵盖所有可能的叙事的元叙事。这种叙事最终可能会为新的患者护理质量指标提供信息，进一步关注患者，并根据他们的需求和倾向进行调整。
背景：该研究由法兰西岛临床研究与创新小组资助，并获得CPPSUD-ESTVI克莱蒙费朗（法国）研究伦理委员会的批准。结果将提交在同行评审的期刊上发表。将联系患者协会以传播研究结果。
背景：NCT05092659。
方法：为了实现这些目标，Créteil医院的16名减肥手术患者，法国（社区间医院中心），将包括在手术前和手术后两次采访，在3个月和6个月。收集的叙事将用于构建旨在涵盖所有可能的叙事的元叙事。这种叙事最终可能会为新的患者护理质量指标提供信息，进一步关注患者，并根据他们的需求和倾向进行调整。
背景：该研究由法兰西岛临床研究与创新小组资助，并获得CPPSUD-ESTVI克莱蒙费朗（法国）研究伦理委员会的批准。结果将提交在同行评审的期刊上发表。将联系患者协会以传播研究结果。
背景：NCT05092659。
