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Patients driving deprescribing? - Older adults’ experiences with raising medication concerns with providers. 患者推动取消处方?- 老年人向医疗服务提供者提出用药问题的经验。
Pub Date : 2023-11-01 DOI: 10.1370/afm.22.s1.5319
Jennifer Stoll, Robert Wahler, Ranjit Singh, Alexandria Wahler, Matthew Cosmai
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引用次数: 0
Doctor-patient communication about blood tests: Qualitative interview study in general practice 关于血液检查的医患沟通:全科医学中的定性访谈研究
Pub Date : 2022-03-01 DOI: 10.1370/afm.20.s1.2858
J. Watson, W. Hamilton, C. Salisbury, J. Banks
Context: Shared decision making is widely advocated, however most research focuses on treatment decisions. Evidence for shared decision-making in relation to diagnostic testing is limited to specific tests such as prostate specific antigen, screening and genetic tests. There is a lack of evidence regarding the relevance of shared decision-making to routine blood tests, despite increasing rates of laboratory testing in primary care. Objectives: To explore shared decision making and communication around routine blood tests in primary care. Study design: Qualitative interview study Setting:
背景:共同决策被广泛提倡,然而大多数研究都集中在治疗决策上。在诊断检测方面共同决策的证据仅限于前列腺特异性抗原、筛查和基因检测等特定检测。尽管在初级保健中实验室检测的比率不断增加,但缺乏证据表明共同决策与常规血液检测的相关性。目的:探讨初级保健中常规血液检查的共同决策和沟通。研究设计:定性访谈研究设置:
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引用次数: 0
Patient engagement works: Patient and researcher experiences of patient partnership in primary healthcare research 患者参与工作:初级卫生保健研究中患者伙伴关系的患者和研究人员经验
Pub Date : 2022-03-01 DOI: 10.1370/afm.20.s1.2908
D. Howse, A. Delahunty-Pike, Olivier Dumont-Samson, Mathieu Bisson, Mireille Lambert, S. Doucet, M. Chouinard, C. Hudon, Cathy J. Scott, Fred Burge, Linda Wilhelm, Mike Warren, J. Porter, Charlotte Schwarz, Donna Rubenstein, André Gaudreau
Context: Health researchers are increasingly engaging patients and their families as partners in the research process, from inception to knowledge translation. The trend toward ‘patient - oriented’ research is encouraged by a growing view that studies which integrate the patient perspective will make better use of resources to produce more relevant evidence that can be more easily translated to clinical settings. While there is an emerging literature on best practices, challenges, and learnings related to patient engagement (PE), few studies consider the experiences of patient partners (PP) and researchers in the same project. This presentation will present PP and researcher experiences of PE, highlighting important similarities and differences and proposing recommendations. Objectives: To characterize PE experience from the perspective of researchers and PP working together on the same research program, PriCARE; to identify successes and challenges; to ascertain contributions of PE in health research. Study Design: Qualitative. Setting or Dataset: This study was conducted within the larger 5-province PriCARE study examining a nurse-led case management intervention for primary care patients with complex needs. Population studied: 22 members of the study team (7 PP, 8 coordinators, 2 co-investigators, 5 principal investigators). Methods: Data collection: In-depth interviews using guides co-created by researchers and PP covering topics such as PE-related training and knowledge, and reflections on PE processes and impact. Research assistants external to the PriCARE study conducted interviews, transcribed researcher interviews, and generated a summary of PP interviews. Analysis: Data were analyzed thematically using a coding framework that was co-developed with PP. Outcome Measures: Researcher and patient experiences of PE, PP contributions to health research. Results: All team members need PE training at the beginning
背景:卫生研究人员越来越多地让患者及其家属作为合作伙伴参与研究过程,从开始到知识转化。越来越多的观点认为,整合患者观点的研究将更好地利用资源,产生更相关的证据,更容易转化为临床环境,这一观点鼓励了“以患者为导向”的研究趋势。虽然关于患者参与(PE)的最佳实践、挑战和学习的文献越来越多,但很少有研究考虑到同一项目中患者伴侣(PP)和研究人员的经验。本报告将介绍PP和PE研究者的经验,突出重要的异同,并提出建议。目的:从研究人员和PP共同参与同一个研究项目PriCARE的角度来描述体育体验;识别成功和挑战;以确定体育在健康研究中的贡献。研究设计:定性。背景或数据集:本研究是在较大的5个省PriCARE研究中进行的,该研究检查了护士主导的病例管理干预,用于有复杂需求的初级保健患者。研究人群:22名研究小组成员(7名PP, 8名协调员,2名共同调查员,5名主要调查员)。方法:数据收集:使用研究者和PP共同编写的指南进行深度访谈,涵盖体育相关培训和知识,以及对体育过程和影响的反思等主题。PriCARE研究的外部研究助理进行了访谈,转录了研究人员的访谈,并生成了PP访谈的摘要。分析:使用与PP共同开发的编码框架对数据进行主题分析。结果测量:PE的研究人员和患者经验,PP对健康研究的贡献。结果:所有队员在开始阶段都需要进行体育训练
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引用次数: 0
Demonstrating the complexity of patient-partnered research in primary care: a snapshot of patient-partners 展示初级保健中患者合作研究的复杂性:患者合作伙伴的快照
Pub Date : 2022-03-01 DOI: 10.1370/afm.20.s1.2753
G. Bartlett-Esquilant, Jamie DeMore, Roger Stoddard, Brenda Andreas, Ghislaine Rouly, Annick Beaudry, Alanna Baldwin, Mpho Begin, K. Prevost, Lynne Mansell, J. Cranston
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引用次数: 0
The EMBOLDEN Co-design study: Partnering with older adults and communities to develop a community program to enhance mobility EMBOLDEN共同设计研究:与老年人和社区合作,制定社区计划,以提高流动性
Pub Date : 2022-03-01 DOI: 10.1370/afm.20.s1.2945
R. Ganann, Stuart M Phillips, C. Moore, B. Newbold, Maggie MacNeil, Elizabeth Orr, S. Neil-Sztramko, A. Kuspinar, Courtney Kennedy, Elizabeth Alvarez
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引用次数: 1
Planning, operationalizing, and evaluating patient partners’ engagement in primary care research: a logic model 计划、实施和评估患者合作伙伴参与初级保健研究:一个逻辑模型
Pub Date : 2022-03-01 DOI: 10.1370/afm.20.s1.2798
Mathieu Bisson, C. Hudon, F. Burge, Mireille Lambert, S. Doucet, D. Howse, Olivier Dumont-Samson, F. K. Aubrey-Bassler, M. Chouinard, J. Porter, V. Ramsden, André Gaudreau, Charlotte Schwarz, Donna Rubenstein, Cathy J. Scott, Linda Wilhelm, M. Macdonald, A. Delahunty-Pike
Context. There is growing evidence supporting patients’ engageme nt (PE) in primary care research to improve the quality, relevance, and uptake of research. However, guidance is still needed to plan and operationalize this engagement during the research process. Objective. To develop a logic model illustrating empirically the causal links between context, resources, activities, and expected outcomes of PE in an implementation research program in primary care. Study design. Instrumental case study. Setting. A research program (PriCARE) aiming to implement and evaluate a case management intervention (CMI) in primary care clinics across five provinces in Canada. Population studied. Research team members. Methods. Data collection. Participant observation and in-depth interviews (n=22) conducted by two independent research assistants with research team members: principal investigators (n=5); co-investigators (n=2); research coordinators and assistants (n=8); and patient partners (n=7). Analysis. Deductive thematic analysis using components of the logic model as coding categories. All data were coded using NVivo 12 software. Data were reduced and organized in a first logic model version. Team meetings helped to refine the logic model. The final version was validated by all research team members. Results. The logic model provides an empirical illustration of the relationship between context, resources, activities, and expected outcomes for PE. Mobilized resources (human, financial, organizational, and communicational) allow research team members to be involved in many activities related to PE: recruitment
上下文。越来越多的证据支持患者参与初级保健研究,以提高研究的质量、相关性和吸收。然而,在研究过程中,仍然需要指导来规划和实施这种参与。目标。在初级保健实施研究项目中,建立一个逻辑模型,从经验上说明体育锻炼的背景、资源、活动和预期结果之间的因果关系。研究设计。工具性案例研究。设置。一项研究计划(PriCARE)旨在实施和评估加拿大五个省初级保健诊所的病例管理干预(CMI)。人口研究。研究团队成员。方法。数据收集。参与者观察和深度访谈(n=22)由两名独立研究助理与研究小组成员进行:主要研究者(n=5);他们的研究(n = 2);研究协调员和助理(n=8);患者伴侣(n=7)。分析。演绎主题分析使用组件的逻辑模型作为编码类别。所有数据采用NVivo 12软件编码。在第一个逻辑模型版本中对数据进行了简化和组织。团队会议有助于改进逻辑模型。最终版本由所有研究团队成员验证。结果。逻辑模型提供了环境、资源、活动和PE预期结果之间关系的实证说明。调动资源(人力、财政、组织和沟通)使研究团队成员能够参与与体育招聘有关的许多活动
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引用次数: 0
Establishing patient-partner priorities within the primary and integrated health care innovations network in Canada 在加拿大的初级和综合保健创新网络内确定患者-伙伴优先事项
Pub Date : 2022-03-01 DOI: 10.1370/afm.20.s1.2765
Jamie DeMore, Roger Stoddard, G. Bartlett-Esquilant, Brenda Andreas, Kent C Loftsgard, Mpho Begin, Annick Beaudry, K. Prevost, Ghislaine Rouly, Alanna Baldwin, J. Cranston
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引用次数: 0
Connections: The Power of Learning Together to Improve Healthcare in the United Kingdom 联系:共同学习改善英国医疗保健的力量
Pub Date : 2019-10-11 DOI: 10.1007/978-3-030-14101-1_6
R. Matthews, S. Green, Rowan Myron, C. French, S. Barber, D. Matthew, Sandra Jayacodi, Jenny Trite, Adrian Brown, Justin N. Baker, Howard Bluston, R. Grant, J. Straus, Richard M Ballerand, Maurice Hoffman, F. Husson, L. Fischer, C. Augustine
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引用次数: 0
Partnering with Patients for Change and Improvement: An Australian Perspective 与患者合作改变和改善:澳大利亚的观点
Pub Date : 2019-10-01 DOI: 10.1007/978-3-030-14101-1_7
J. Braithwaite, K. Churruca, L. Wells, F. Rapport, T. Lawson, Paula Arro, Jo Watson
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引用次数: 2
The Participation of Patients and Relatives in Quebec’s Health System: The Montréal Model 魁北克省卫生系统中患者和亲属的参与:montracimal模式
Pub Date : 1900-01-01 DOI: 10.1007/978-3-030-14101-1_3
M. Pomey, Vincent Dumez, A. Boivin, Ghislaine Rouly, P. Lebel, A. Berkesse, Annie Descoteaux, Mathieu Jackson, Philippe Karazivan, N. Clavel
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引用次数: 10
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