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عضویت

جستجوی مقالات مرتبط با کلیدواژه « patient experience » در نشریات گروه « پزشکی »

  • مجتبی نجیب جلالی*، علی وفایی نجار، جمشید جمالی، الهه هوشمند
    زمینه و هدف

    درک تجربه بیمار یک گام کلیدی در حرکت به سمت مراقبت بیمار محور است. هدف از این مطالعه طراحی الگوی ارزیابی تجربه بیمار، جهت ارزیابی مولفه های موثر در تجربه بیمار در بیمارستان های تحت پوشش دانشگاه علوم پزشکی مشهد بود.

    روش پژوهش:

     این مطالعه از نوع توصیفی تطبیقی بود که با بهره گیری از بانک ها و منابع اطلاعاتی و براساس مروری جامع، الگوهای مورد استفاده در سایر نقاط دنیا بر اساس پروتکل تحقیق استخراج گردید و وارد ماتریس مقایسه ای شد. بررسی تایید پایایی چارچوب استخراج شده با استفاده از ضریب توافق طرفین انجام شد. جهت معتبرسازی الگو، سوالات در قالب چک لیست تنظیم شد و با متخصصین دانشگاه علوم پزشکی مشهد در طی 2 راند دلفی با استفاده از نرم افزار 16 SPSS معتبر گردید.

    یافته ها

    در این مطالعه؛ 10 الگو در خصوص ارزیابی تجربه بیمار در کشورهای مختلف یافت شد که هر کدام از چند بعد تشکیل شده اند و برخی از این ابعاد در الگوها دارای هم پوشانی بود. الگوها شامل الگوی کشور آمریکا (8 بعد)، الگوی کشور سوید (10 بعد)، الگوی اول کشور انگلیس (7 بعد)، الگوی دوم کشور انگلیس (8 بعد)، الگوی کشور اسکاتلند (6 بعد)، الگوی کشور هنگ کنگ (9 بعد)، الگوی اول کشور نروژ (6 بعد)، الگوی دوم کشور نروژ (5 بعد)  الگوی کشور هند (10 بعد)، الگوی کشور اتیوپی (5 بعد) بودند. الگوی نهایی دارای 10 بعد و 29 حیطه فرعی مورد تایید و معتبر گردید.

    نتیجه گیری: 

    یافته های مطالعه نشان داد که الگو دارای 10 بعد و 29 حیطه فرعی برای کشور ایران مناسب است که از بین ابعاد، بعد احترام به شان و حریم خصوصی بیمار بیشترین و بعد نحوه ترخیص بیمار از بیمارستان کمترین امتیاز را کسب کردند.

    کلید واژگان: تدوین الگو, تجربه بیمار, مراقبت بیمارمحور, رضایت بیمار}
    Mojtaba Najib Jalali*, Ali Vafaee Najar, Jamshid Jamali, Elaheh Hooshmand
    Background

    Understanding the "patient experience" is a key step in moving towards patient-centered care. The purpose of this study is to design a patient experience evaluation model to evaluate the effective components in the patient experience in hospitals of Mashhad University of Medical Sciences.

    Methods

    This was a comparative descriptive study conducted using databases and information resources and based on a comprehensive review, and the models used in other parts of the world were extracted based on the research protocol and entered into a comparative matrix. The reliability of the extracted framework was verified using the agreement coefficient of the parties. In order to validate the model, the questions were prepared in the form of a questionnaire and validated by the specialists of Mashhad University of Medical Sciences during two-round Delphi using SPSS 16 software.

    Results

    In this study, 10 models were obtained for evaluating patient experience in different countries, each of which was composed of several dimensions and some of them had overlap. The models included American model (8 dimensions), Swedish model (10 dimensions), British first model (7 dimensions), British second model (8 dimensions), Scotland model (6 dimensions), Hong Kong model (9 dimensions), Norway first model (6 dimensions), Norway second model (5 dimensions), India model (10 dimensions), and the model of Ethiopia (5 dimensions). The final model with 10 dimensions and 29 sub- dimensions was approved and validated.

    Conclusion

    The results showed that the suitable pattern for Iran had 10 dimensions and 29 sub-dimensions. Among the dimensions, respect for the patientchr('39')s privacy and dignity had the highest score and the way patients are discharged from the hospital had the lowest score.

    Keywords: Developing a model, Patient experience, Patient-centered care, Patient satisfaction}
  • حمیدرضا بنفشه*، حمیدرضا گیلاسی، امیر قادری
    زمینه و هدف

    درکشورهای توسعه یافته، رضایت بیمار، یک عامل کلیدی در ارزیابی کیفیت سیستم مراقبت های بهداشتی است. این تحقیق باهدف تعیین وضعیت رضایتمندی بیماران نسبت به خدمات ارائه شده در داروخانه های سطح شهر کاشان و عوامل مرتبط با آن طراحی شده است.

    مواد و روش ها

    مطالعه به روش مقطعی بر روی 440 بیمار مراجعه کننده به داروخانه های سطح شهر کاشان انجام گرفت که به صورت تصادفی مورد سوال قرار گرفتند. پرسشنامه این مطالعه شامل 44 سوال و متمرکز روی چهار موضوع بود: انتظارات از داروساز، ارتباط با داروساز، مشاوره توسط داروساز و محیط فیزیکی داروخانه. در این پژوهش از نرم افزار آماری SPSS نسخه 20 و همچنین از آزمون های آماری پارامتریک و آزمون ANOVA برای تجزیه وتحلیل داده های مطالعه استفاده شد.

    نتایج

    بیشترین میزان انتظارات به ترتیب در مورد برخورد خوب و مودبانه از داروساز و کارکنان داروخانه (92/7درصد)، کم شدن مدت زمان انتظار (92 درصد)، انتظار از داروساز جهت توضیح موارد مصرف داروها (85 درصد) و انتظار از داروساز جهت توضیح در مورد روش مصرف داروها (82/5درصد) بودند. بیشترین میزان رضایت بیماران مربوط به خوش اخلاق و خوش برخورد بودن داروساز (78/9درصد)، برچسب زدن دارو توسط داروساز (78 درصد) و روشن بودن فضای داروخانه (93 درصد) است.

    نتیجه گیری

     شهرستان کاشان دارای سطوح مختلف رضایت از کیفیت خدمات داروخانه ای هستند. برای افزایش سطح رضایتمندی، لازم است که آموزش های مناسب در داروخانه ها فراهم شود و کیفیت خدمات در همه حیطه ها ارتقا یابد.

    کلید واژگان: رضایتمندی بیماران, خدمات داروخانه, تجربه بیمار, ارتباط داروخانه و بیمار}
    Hamidreza Banafsheh*, Hamidreza Gilasi, Amir Ghaderi
    Background & Objective

    Patients’ satisfaction is a key factor in the evaluation of health system’s quality in developed countries. The purpose of the presnt study was to investigate Patients’ satisfaction with services provided at pharmacies in the city of Kashan and related elements.

    Materials & Methods

    In a cross- sectional study, 440 patients who referred to pharmacies in the city of Kashan were surveyed randomly. The questionnaire was composed of 44 items and focused on four dimensions: patients’ expectations from the pharmasict, pharmacist’s communication skills, consultations offered by the pharmacist, and the location and physical environment of the pharmacy. In order to analyze the data of this study, SPSS software version 20, and parametric and ANOVA tests were used.

    Results

    Patients’ highest expectations were courteous behavior from the pharmacist and the personnel (92/7%), low wating time (92%), explanation for medication indications (85%), and explanation on how to use the medications (82/5%). Patients’ satisfaction elements with the highest score were cordial and pleasant attitude of the pharmacist (78.9%), labeling the medications by the pharmacist (78%) and the illumination inside the drugstores facility (93%).

    Conclusion

    The city of Kashan has variable levels of satisfaction with the quality of pharmacy services. To increase levels of satisfaction, it is necessary to provide appropriate training in pharmacies and quality of services promted in all domains.

    Keywords: Patient satisfaction, Pharmacy services, Patient experience, Pharmacist–patient communication}
  • Graeme Kohler, Tara Sampalli *, Ashley Ryer, Judy Porter, Les Wood, Lisa Bedford, Irene Higgins-Bowser, Lynn Edwards, Erin Christian, Susan Dunn, Rick Gibson, Shannon Ryan Carson, Michael Vallis, Joanna Zed, Barna Tugwell, Colin Van Zoost, Carolyn Canfield, Eleanor Rivoire
    Background Recent evidence shows that patient engagement is an important strategy in achieving a high performing healthcare system. While there is considerable evidence of implementation initiatives in direct care context, there is limited investigation of implementation initiatives in decision-making context as it relates to program planning, service delivery and developing policies. Research has also shown a gap in consistent application of system-level strategies that can effectively translate organizational policies around patient and family engagement into practice.
    Methods The broad objective of this initiative was to develop a system-level implementation strategy to include patient and family advisors (PFAs) at decision-making points in primary healthcare (PHC) based on wellestablished evidence and literature. In this opportunity sponsored by the Canadian Foundation for Healthcare Improvement (CFHI) a co-design methodology, also well-established was applied in identifying and developing a suitable implementation strategy to engage PFAs as members of quality teams in PHC. Diabetes management centres (DMCs) was selected as the pilot site to develop the strategy. Key steps in the process included review of evidence, review of the current state in PHC through engagement of key stakeholders and a co-design approach.
    Results The project team included a diverse representation of members from the PHC system including patient advisors, DMC team members, system leads, providers, Public Engagement team members and CFHI improvement coaches. Key outcomes of this 18-month long initiative included development of a working definition of patient and family engagement, development of a Patient and Family Engagement Resource Guide and evaluation of the resource guide.
    Conclusion This novel initiative provided us an opportunity to develop a supportive system-wide implementation plan and a strategy to include PFAs in decision-making processes in PHC. The well-established co-design methodology further allowed us to include value-based (customer driven quality and experience of care) perspectives of several important stakeholders including patient advisors. The next step will be to implement the strategy within DMCs, spread the strategy PHC, both locally and provincially with a focus on sustainability.
    Keywords: Patient, Family Engagement, Decision-making, Quality Teams, Patient Experience}
  • Jennifer Y. Verma*, Claudia Amar
    Disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. For patients living with multiple chronic conditions, such disconnects can be particularly detrimental. Lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and containing costs (eg, improving integration of services) as well as focusing on what matters to patients. Lean works particularly well to optimize existing processes and services. However, as the burden of chronic illness and frailty overtake episodic care needs, health systems require far greater complex, adaptive change. Such change ought to take into account outcomes in population health in addition to care experiences and costs (together, comprising the Triple Aim); and involve patients and families in co-designing new models of care that better address complex, longer-term health needs.
    Keywords: Wait Times, Multimorbidities, Lean Methodologies, Patient Experience, Chronic Care, Triple Aim}
  • Tara Sampalli, Michel Desy, Minakshi Dhir, Lynn Edwards, Robert Dickson, Gail Blackmore
    Background
    Recognizing the significant impact of wait times for care for individuals with complex chronic conditions, we applied a LEAN methodology, namely – an adaptation of Value Stream Mapping (VSM) to meet the needs of people with multiple chronic conditions and to improve wait times without additional resources or funding.
    Methods
    Over an 18-month time period, staff applied a patient-centric approach that included LEAN methodology of VSM to improve wait times to care. Our framework of evaluation was grounded in the needs and perspectives of patients and individuals waiting to receive care. Patient centric views were obtained through surveys such as Patient Assessment of Chronic Illness Care (PACIC) and process engineering based questions. In addition, LEAN methodology, VSM was added to identify non-value added processes contributing to wait times.
    Results
    The care team successfully reduced wait times to 2 months in 2014 with no wait times for care anticipated in 2015. Increased patient engagement and satisfaction are also outcomes of this innovative initiative. In addition, successful transformations and implementation have resulted in resource efficiencies without increase in costs. Patients have shown significant improvements in functional health following Integrated Chronic Care Service (ICCS) intervention. The methodology will be applied to other chronic disease management areas in Capital Health and the province.
    Conclusion
    Wait times to care in the management of multimoribidities and other complex conditions can add a significant burden not only on the affected individuals but also on the healthcare system. In this study, a novel and modified LEAN methodology has been applied to embed the voice of the patient in care delivery processes and to reduce wait times to care in the management of complex chronic conditions.
    Keywords: Wait Times, Multimorbidities, LEAN Methodologies, Patient Experience}
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