Patient Participation: Current Knowledge and Applicability to Patient Safety

婉若秋水

Abstract

Patient participation is increasingly recognized as a key component in the redesign of health care processes and is advocated as a means to improve patient safety. The concept has been successfully applied to various areas of patient care, such as decision making and the management of chronic diseases. We review the origins of patient participation, discuss the published evidence on its efficacy, and summarize the factors influencing its implementation. Patient-related factors, such as acceptance of the new patient role, lack of medical knowledge, lack of confidence, comorbidity, and various sociodemographic parameters, all affect willingness to participate in the health care process. Among health care workers, the acceptance and promotion of patient participation are influenced by other issues, including the desire to maintain control, lack of time, personal beliefs, type of illness, and training in patient-caregiver relationships. Social status, specialty, ethnic origin, and the stakes involved also influence patient and health care worker acceptance. The London Declaration, endorsed by the World Health Organization World Alliance for Patient Safety, calls for a greater role for patients to improve the safety of health care worldwide. Patient participation in hand hygiene promotion among staff to prevent health care—associated infection is discussed as an illustrative example. A conceptual model including key factors that influence participation and invite patients to contribute to error prevention is proposed. Further research is essential to establish key determinants for the success of patient participation in reducing medical errors and in improving patient safety.

Patient participation is a complex concept and arises from the widespread consumer movement of the 1960s that affirmed the consumer's right to safety, the right to be informed, the right to choose, and the right to be heard.

The following popper user interface control may not be accessible. Tab to the next button to revert the control to an accessible version.

Destroy user interface control1 During the past few years, patient participation has been increasingly recognized as a key component in the redesign of health care processes and successfully applied to some aspects of patient care, notably the decision-making process and the treatment of chronic illness. Recently, increasing patient participation has been recommended to improve patient safety. The World Health Organization (WHO) World Alliance for Patient Safety is actively highlighting the role that patients and their families could play in the improvement of health care.

The following popper user interface control may not be accessible. Tab to the next button to revert the control to an accessible version.

Destroy user interface control2 However, this field of patient participation has not been widely researched thus far.

We review the underlying principles and the efficacy of patient participation in decision making and self-treatment of chronic illness, as well as the potential obstacles to implementation. Building on these principles, we develop a conceptual framework for patient participation. Finally, we suggest that patient participation could be useful to improve quality of care and prevent medical errors and propose an agenda for research.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800278/

婉若秋水

患者参与患者安全是病人的新角色，其中还列举了手卫生中病人的参与，无法下载全文，哪位高手下载分享哦。有兴趣的阅读请看链接阅读全文。