P-028 对因心血管疾病而在工作参与方面遇到困难的人来说最重要的一套与工作相关的最小结果衡量标准

Marije Hagendijk, Nina Zipfel, Jan Hoving, Marijke Melles Delft, Philip Wees Van der Radboud, Sylvia Van der Burg-Vermeulen
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摘要

导言:以价值为基础的医疗保健强调通过改善对患者最重要的医疗保健结果(与成本相比),最大限度地为患者创造价值。为了监测和提高价值,衡量以患者为中心的结果至关重要。然而,现有的结果集缺乏与工作相关的结果测量。因此,本研究的目的是为因心血管疾病而出现工作参与问题的患者确定一套最基本的工作相关结果衡量标准。方法 采用了两轮改良德尔菲程序,包括四次会议和调查相结合,以促进辩论,并与专家小组就结果测量达成共识。专家小组由 17 名参与者组成,包括患者代表(6 人)和提供以工作为重点的医疗保健服务的各类专业人员(11 人)。结果 确定了与工作相关的最小结果集,包括九项结果,包括:(1) 工作参与;(2) 适合的工作;(3) 体力工作能力;(4) 脑力工作能力;(5) 与患者的沟通;(6) 以人为本;(7) 工作环境的支持;(8) 工作环境的灵活性;(9) 多学科沟通。对每项结果都选择了一个结果衡量标准。讨论/结论 这套针对因心血管疾病而出现工作参与问题的患者的最小结果测量方法,可作为在各种以工作为中心的医疗环境中测量与工作相关的结果的指南,从而能够监测价值并鼓励医疗创新。使用这套指标可以深入了解患者的治疗效果,帮助医护人员与患者进行更有效的交流并共同做出决策。此外,它还能帮助患者更好地了解自己以工作为重点的医疗保健过程。
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P-028 A MINIMAL SET OF WORK-RELATED OUTCOME MEASURES MOST IMPORTANT FOR PEOPLE EXPERIENCING WORK PARTICIPATION PROBLEMS DUE TO CARDIOVASCULAR DISEASE
Introduction Value-based healthcare emphasizes the maximization of value for patients by improving healthcare outcomes that are most important to them in relation to costs. To monitor and improve value it is crucial to measure patient-centred outcomes. However, existing outcome sets lack the inclusion of work-related outcome measures. Therefore, the objective of this study was to identify a minimal set of work-related outcome measures for patients experiencing work participation problems due to cardiovascular diseases. Methods A 2-round modified Delphi process was employed, which included a combination of four meetings and surveys to facilitate debate and to achieve consensus on the outcome measures with an expert panel. The expert panel consisted out of 17 participants, including patient representatives (N=6) and a diverse group of professionals providing work-focused healthcare (N=11). Results A minimal work-related outcome set was defined, consisting of nine outcomes including (1)work participation, (2)suitable work, (3)physical work ability, (4)mental work ability, (5)communication with the patient, (6) person-centeredness, (7)support from the work environment, (8)flexibility in the work environment and (9)multidisciplinary communication. An outcome measure was selected for each of these outcomes. Discussion/conclusion This minimal set of outcome measures for patients experiencing work participation problems due to cardiovascular disease serves as a guideline for measuring work-related outcomes in a wide range of work-focused healthcare settings, enabling the monitoring of value and encouraging healthcare innovations. Using the set can gain insight into patients’ outcomes, assisting healthcare professionals to engaging in more effective conversations and shared decision-making with patients. Additionally, it can help patients develop a better understanding of their own work-focused healthcare process.
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