Patients' Needs Regarding Work-Focused Healthcare: A Qualitative Evidence Synthesis.

IF 2.1 3区 医学 Q1 REHABILITATION Journal of Occupational Rehabilitation Pub Date : 2024-07-25 DOI:10.1007/s10926-024-10225-8
Marije E Hagendijk, Nina Zipfel, Marijke Melles, Philip J van der Wees, Carel T J Hulshof, Elmi Zwaan, Sylvia J van der Burg-Vermeulen, Jan L Hoving
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Abstract

Purpose: To identify, appraise, and synthesize qualitative research evidence exploring patients' needs regarding work-focused healthcare.

Methods: A systematic review was conducted in accordance with the PRISMA statement guidelines to identify studies reporting patients' needs regarding work-focused healthcare. Four databases (MEDLINE, Embase, PsychInfo and Web of Science) were systematically searched from January 2000 until May 2023 and screened in duplicate by pairs of two reviewers. Inclusion criteria were qualitative data collection method, and patients' perspectives regarding healthcare focusing on work when experiencing work-related problems due to chronic medical conditions. Data extraction and synthesis was executed by means of an inductive thematic analysis approach. The quality of the included studies was assessed using the CASP Qualitative Study checklist. Confidence in the review findings was assessed through the Confidence in the Evidence from Reviews of Qualitative research (CERQual) approach.

Results: Out of 23,677 records, 97 qualitative studies were included. Needs regarding four main themes were identified: (1) Substantive guidance, which comprises the specific content of work-focused healthcare; (2) Clear and continuous process, which comprises clarification and optimization of the work-focused healthcare process; (3) Supportive attitude and behavior, which comprises a positive and supportive attitude and behavior from professionals towards the patients; and (4) Tailored approach, which comprises the delivery of tailored care to the individuals' needs. 17 subthemes were identified.

Conclusion: The broader insight in patients' needs in work-focused healthcare can help (occupational) healthcare professionals adopt a more patient-centred approach in practice.

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患者对以工作为重点的医疗保健的需求:定性证据综述》。
目的:确定、评估和综合探讨患者对以工作为中心的医疗保健需求的定性研究证据:方法:根据 PRISMA 声明指南进行系统性回顾,以确定报告患者对以工作为中心的医疗保健需求的研究。从 2000 年 1 月到 2023 年 5 月,对四个数据库(MEDLINE、Embase、PsychInfo 和 Web of Science)进行了系统检索,并由两名审稿人进行一式两份筛选。纳入标准是定性数据收集方法,以及患者在因慢性疾病而遇到与工作相关的问题时,对以工作为中心的医疗保健的看法。采用归纳式主题分析方法进行数据提取和综合。纳入研究的质量采用 CASP 定性研究核对表进行评估。通过定性研究综述证据置信度(CERQual)方法对综述结果进行置信度评估:在 23,677 条记录中,97 项定性研究被纳入其中。确定了四大主题方面的需求:(1) 实质性指导,包括以工作为中心的医疗保健的具体内容;(2) 清晰而持续的流程,包括以工作为中心的医疗保健流程的澄清和优化;(3) 支持性态度和行为,包括专业人员对患者的积极支持态度和行为;(4) 量身定制的方法,包括根据个人需求提供量身定制的护理。共确定了 17 个次主题:结论:在以工作为重点的医疗保健中,对患者需求的更广泛了解有助于(职业)医疗保健专业人员在实践中采用更加以患者为中心的方法。
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来源期刊
CiteScore
5.80
自引率
12.10%
发文量
64
期刊介绍: The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law.  A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.
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