“仅仅因为我有医学学位并不意味着我有答案”:在初级保健环境中使用CBPR来加强以患者为中心的护理。

IF 3.4 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY American journal of community psychology Pub Date : 2023-04-22 DOI:10.1002/ajcp.12677
Rachel Siegal, Andrew Nance, Atalaya Johnson, Andrew Case
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引用次数: 0

摘要

以患者为中心的护理(PCC)是一种医疗保健模式,被认为是减少医疗保健系统中不公平现象的一种手段,特别是通过在治疗计划中优先考虑患者的声音和偏好。然而,它的实施也面临着有案可稽的挑战。基于社区的参与性研究(CBPR)似乎能够很好地应对这些挑战,但以这种方式利用CBPR的讨论有限。本文开始解决这一差距。在报告中,我们介绍了三个不同利益相关者对CBPR项目的看法,该项目旨在加强为低收入患者服务的初级保健诊所内的PCC。这些观点提供了对使用CBPR实施PCC的好处、挑战和经验教训的见解。使用CBPR实施PCC的主要好处包括提高数据收集工具和流程的可接受性和可行性,以及生成高质量的可操作反馈。PCC实施的重要CBPR促进者包括患者和提供者之间有意的权力分享,以及在组织内通过授权实践“支持”CBPR的投资利益相关者。
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“Just because I have a medical degree does not mean I have the answers”: Using CBPR to enhance patient-centered care within a primary care setting

Patient-centered care (PCC) is a health care delivery model that is considered a means to reduce inequities in the healthcare system, specifically through its prioritization of patient voice and preference in treatment planning. Yet, there are documented challenges to its implementation. Community-based participatory research (CBPR) is seemingly well-positioned to address such challenges, but there has been limited discussion of utilizing CBPR in this way. This article begins to address this gap. In it, we present three diverse stakeholders' perspectives on a CBPR project to enhance PCC within a primary care clinic serving low-income patients. These perspectives provide insights into benefits, challenges, and lessons learned in using CBPR to implement PCC. Key benefits of using CBPR to implement PCC include increasing the acceptability and feasibility of data collection tools and process, and the generating of high-quality actionable feedback. Important CBPR facilitators of PCC implementation include intentional power-sharing between patients and providers and having invested stakeholders who “champion” CBPR within an organization with empowering practices.

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来源期刊
CiteScore
6.30
自引率
9.70%
发文量
55
期刊介绍: The American Journal of Community Psychology publishes original quantitative, qualitative, and mixed methods research; theoretical papers; empirical reviews; reports of innovative community programs or policies; and first person accounts of stakeholders involved in research, programs, or policy. The journal encourages submissions of innovative multi-level research and interventions, and encourages international submissions. The journal also encourages the submission of manuscripts concerned with underrepresented populations and issues of human diversity. The American Journal of Community Psychology publishes research, theory, and descriptions of innovative interventions on a wide range of topics, including, but not limited to: individual, family, peer, and community mental health, physical health, and substance use; risk and protective factors for health and well being; educational, legal, and work environment processes, policies, and opportunities; social ecological approaches, including the interplay of individual family, peer, institutional, neighborhood, and community processes; social welfare, social justice, and human rights; social problems and social change; program, system, and policy evaluations; and, understanding people within their social, cultural, economic, geographic, and historical contexts.
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