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Physician engagement: a concept analysis

机译：医师参与：概念分析

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摘要

The term “physician engagement” is used quite frequently, yet it remains poorly defined and measured. The aim of this study is to clarify the term “physician engagement.” This study used an eight step-method for conducting concept analyses created by Walker and Avant. MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials were searched on February 14, 2019. No limitations were put on the searches with regard to year or language. Results identify that the term “physician engagement” is regular participation of physicians in (1) deciding how their work is done, (2) making suggestions for improvement, (3) goal setting, (4) planning, and (5) monitoring of their performance in activities targeted at the micro (patient), meso (organization), and/or macro (health system) levels. The antecedents of “physician engagement” include accountability, communication, incentives, interpersonal relations, and opportunity. The results include improved outcomes such as data quality, efficiency, innovation, job satisfaction, patient satisfaction, and performance. Defining physician engagement enables physicians and health care administrators to better appreciate and more accurately measure engagement and understand how to better engage physicians.
机译：术语“医师参与”使用非常频繁，但定义和衡量仍然很差。这项研究的目的是澄清术语“医师参与”。这项研究使用了八个步骤的方法来进行由Walker和Avant创建的概念分析。 MEDLINE，EMBASE和Cochrane对照试验中央注册簿已于2019年2月14日进行搜索。搜索的年份或语言不受限制。结果表明，“医师参与”一词是指医师定期参与（1）决定他们的工作方式，（2）提出改进建议，（3）设定目标，（4）规划和（5）监测他们在针对微观（患者），中观（组织）和/或宏观（卫生系统）水平的活动中的表现。 “医师参与”的前身包括问责制，沟通，激励，人际关系和机会。结果包括改进的结果，例如数据质量，效率，创新，工作满意度，患者满意度和绩效。定义医师参与度可以使医师和医疗保健管理员更好地了解和更准确地衡量参与度，并了解如何更好地与医师进行交流。

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