• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Health expectations: an international journal of public participation in health care and health policy >Patient family advisors’ perspectives on engagement in health‐care quality improvement initiatives: Power and partnership
【24h】

Patient family advisors’ perspectives on engagement in health‐care quality improvement initiatives: Power and partnership

机译：病人家庭顾问对参与医疗质量改进计划的看法：力量和伙伴关系

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Engagement of the public in defining and shaping the organization and delivery of health care is increasingly viewed as integral to improving quality and promoting transparent decision making. Meaningful engagement of the public in health‐care reform is predicated on shifting entrenched power imbalances between health‐care systems and those it claims to serve. Objectives To describe the expressions, forms and spaces of power from the perspectives of persons who participated as Patient/Family Advisors ( PFA s) in Rapid Process Improvement Workshops ( RPIW s) within Saskatchewan, Canada. Methods Using a qualitative, interpretive approach, in‐depth interviews were conducted with a purposive sample of 18 PFA s who had participated in at least one RPIW over the past year. Deductive thematic analysis was informed by Gaventa's model of power. Results Motivations for serving as a PFA included a sense of obligation to contribute to the improvement of a public system, recognition of their rights as citizens within a publicly funded system and an opportunity to openly express their concerns where previous encounters had been very negative. The invited spaces of the RPIW s were created by policymakers to accord visible power to PFA s. Participation resulted in PFA s gaining new insights into the structure and operations of the system, affirmation of their right to advocate and recognition of the potential to claim spaces of power as consumers. Advisement on specific health‐care initiatives using the vehicle of PFA s shaped and promoted new forms and spaces of power, representing one step in a very long road to full engagement of consumers in health care.
机译：背景技术越来越多的公众参与到定义和塑造医疗保健的组织和提供中，这已成为提高质量和促进透明决策的不可或缺的组成部分。公众有意义地参与医疗保健改革的前提是，在医疗保健体系和它声称服务的体系之间转移根深蒂固的权力不平衡。目的从参加加拿大萨斯喀彻温省快速流程改进研讨会（RPIW）的患者/家庭顾问（PFA）的人员的角度描述权力的表达，形式和空间。方法采用定性，解释性方法，对18名PFA的目标样本进行了深入访谈，这些PFA在过去一年中至少参加了一次RPIW。演绎的主题分析是由加文塔的权力模型提供的。结果成为PFA的动机包括：有义务为改善公共系统做出贡献;承认其在公共资助系统中作为公民的权利;以及有机会在以前的遭遇非常负面的情况下公开表达他们的关注。 RPIW的受邀空间是由决策者创建的，以使PFA具有可见的功能。参与使PFA对该系统的结构和操作有了新的见解，确认了他们的主张权，并认识到有权利主张作为消费者的权力空间。关于使用PFA的工具塑造和促进新形式和权力空间的特定医疗保健计划的建议，代表着消费者充分参与医疗保健的漫长道路上的一步。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号