在这个COVID-19时代,我们需要重新考虑衡量以人为本护理策略结果的标准。
为了确定优先级,以及卫生服务可以用来实际追求实现以人为本护理目标的标准。
使用德尔菲技术在2020年5月至7月进行了三阶段在线定性研究。
一个在线平台用于114名与会者的共识会议,包括健康规划专家,医疗机构经理,临床医生和患者。
实现以人为本护理的标准和指标。
第一轮以125个提案和11个维度开始。第二轮之后,28个想法在与会者中达成了高度共识。最终,工作组就COVID-19时代实施以人为本护理的20项目标标准和21项相关指标达成了一致.
确定了9个维度和28个优先事项。这些优先事项也符合四重目标方针,这强调了对医疗保健专业人员的护理的必要性,没有他们,就不可能实现更好的护理质量。
以人为本的护理仍然是一个关键目标。然而,在恢复COVID-19无法控制的公共卫生服务期间,需要新的指标来确保其持续发展。
12名专业人员和患者代表自愿参与基线问卷的构建以及使用在线共识会议平台选择标准和指标。
In this COVID-19 era, we need to rethink the criteria used to measure the results of person-centred care strategies.
To identify priorities, and criteria that health services can use to pursue actually the goal of achieving person-centred care.
Three-phase online qualitative study performed during May-July of 2020 using the Delphi technique.
An online platform was used for a consensus meeting of 114 participants, including health planning experts, health-care institution managers, clinicians and patients.
Criteria and indicators for the achievement of person-centred care.
The first round began with 125 proposals and 11 dimensions. After the second round, 28 ideas reached a high level of consensus among the participants. Ultimately, the workgroup agreed on 20 criteria for goals in the implementation of person-centred care during the COVID-19 era and 21 related indicators to measure goal achievement.
Nine dimensions and 28 priorities were identified. These priorities are also in accordance with the quadruple aim approach, which emphasizes the need for care for health-care professionals, without whom it is impossible to achieve a better quality of care.
Person-centred care continues to be a key objective. However, new metrics are needed to ensure its continued development during the restoration of public health services beyond the control of COVID-19.
Twelve professionals and patient representatives participated voluntarily in the construction of the baseline questionnaire and in the selection of the criteria and indicators using an online platform for consensus meetings.