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首页> 外文期刊>International Journal of General Medicine >Patient engagement: an investigation at a primary care clinic
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Patient engagement: an investigation at a primary care clinic

机译：病人参与：在初级保健诊所进行的调查

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Background: Engaged employees are an asset to any organization. They are instrumental in ensuring good commercial outcomes through continuous innovation and incremental improvement. A health care facility is similar to a regular work setting in many ways. A health care provider and a patient have roles akin to a team leader and a team member/stakeholder, respectively. Hence it can be argued that the concept of employee engagement can be applied to patients in health care settings in order to improve health outcomes. Methods: Patient engagement data were collected using a survey instrument from a primary care clinic in the northern Indian state of Punjab. Canonical correlation equations were formulated to identify combinations which were strongly related to each other. In addition, the cause-effect relationship between patient engagement and patient-perceived health outcomes was described using structural equation modeling. Results: Canonical correlation analysis showed that the first set of canonical variables had a fairly strong relationship, ie, a magnitude > 0.80 at the 95% confidence interval, for five dimensions of patient engagement. Structural equation modeling analysis yielded a β ≥ 0.10 and a Student's t statistic ≥ 2.96 for these five dimensions. The threshold Student's t statistic was 1.99. Hence it was found the β values were significant at the 95% confidence interval for all census regions. Conclusion: A scaled reliable survey instrument was developed to measured patient engagement. Better patient engagement is associated with better patient-perceived health outcomes. This study provides preliminary evidence that patient engagement has a causal relationship with patient-perceived health outcomes.
机译：背景：敬业的员工是任何组织的资产。它们有助于通过不断创新和逐步改进来确保良好的商业成果。卫生保健机构在许多方面类似于常规工作场所。卫生保健提供者和患者的角色分别类似于团队负责人和团队成员/利益相关者。因此，可以认为，员工敬业度的概念可以应用于医疗机构中的患者，以改善健康状况。方法：使用调查仪器从印度北部旁遮普邦的一家初级保健诊所收集患者参与数据。制定了规范的相关方程，以识别相互之间密切相关的组合。此外，使用结构方程模型描述了患者参与度和患者感知的健康结果之间的因果关系。结果：典型相关分析表明，对于患者参与的五个维度，第一组规范变量具有相当强的关系，即在95％置信区间内幅度> 0.80。这五个维度的结构方程模型分析得出β≥0.10，学生t统计量≥2.96。学生t统计量的阈值为1.99。因此，发现在所有普查区域中，β值在95％置信区间内均显着。结论：开发了一种可扩展的可靠调查仪器来测量患者参与度。更好的患者参与度与更好的患者感知健康结果相关。这项研究提供了初步的证据，表明患者的参与与患者感知的健康结果之间存在因果关系。

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