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首页> 外文OA文献 >'Reframing Healthcare Services through the Lens of Co-Production' (RheLaunCh): a study protocol for a mixed methods evaluation of mechanisms by which healthcare and social services impact the health and well-being of patients with COPD and CHF in the USA and The Netherlands
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'Reframing Healthcare Services through the Lens of Co-Production' (RheLaunCh): a study protocol for a mixed methods evaluation of mechanisms by which healthcare and social services impact the health and well-being of patients with COPD and CHF in the USA and The Netherlands

机译：“通过共同生产的视角来重新定义医疗服务”（RheLaunCh）：一项针对医疗和社会服务影响美国和美国的COPD和CHF患者健康和福祉的机制的混合方法评估的研究方案荷兰

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INTRODUCTION: The USA lags behind other high-income countries in many health indicators. Outcome differences are associated with differences in the relative spending between healthcare and social services at the national level. The impact of the ratio and delivery of social and healthcare services on the individual patient's health is however unknown. 'Reframing Healthcare Services through the Lens of Co-Production' (RheLaunCh) will be a cross-Atlantic comparative study of the mechanisms by which healthcare and social service delivery may impact patient health with chronic conditions. Insight into these mechanisms is needed to better and cost-effectively organise healthcare and social services. METHODS: We designed a mixed methods study to compare the socioeconomic background, needs of and service delivery to patients with congestive heart failure and chronic obstructive pulmonary disease in the USA and the Netherlands. We will conduct: (1) a literature scan to compare national and regional healthcare and social service systems; (2) a retrospective database study to compare patient's socioeconomic and clinical characteristics and the service use and spending at the national, regional and hospital level; (3) a survey to compare patient perceived quality of life, receipt and experience of service delivery and ability of these services to meet patient needs; and (4) multiple case studies to understand what patients need to better govern their quality of life and how needs are met by services. ETHICS AND DISSEMINATION: Ethics approval was granted by the ethics committee of the Radboud University Medical Center (2016-2423) in the Netherlands and by the Human Subjects Research Committee of the Hennepin Health Care System, Inc. (HSR #16-4230) in the USA. Multiple approaches will be used for dissemination of results, including (inter)national research presentations and peer-reviewed publications. A website will be established to support the development of a community of practice.
机译：简介：在许多健康指标上，美国落后于其他高收入国家。结果差异与国家一级医疗保健和社会服务之间相对支出的差异有关。但是，社会和医疗服务的比例和提供方式对患者个人健康的影响尚不清楚。 “通过共同生产的视角来重新定义医疗保健服务”（RheLaunCh）将是跨大西洋的比较性研究，研究医疗保健和社会服务的提供可能会影响慢性病患者健康的机制。需要深入了解这些机制，以更好地且经济高效地组织医疗保健和社会服务。方法：我们设计了一项混合方法研究，以比较美国和荷兰的充血性心力衰竭和慢性阻塞性肺疾病患者的社会经济背景，需求和服务提供情况。我们将进行：（1）文献扫描以比较国家和地区的医疗保健和社会服务系统； （2）回顾性数据库研究，以比较患者的社会经济和临床特征以及在国家，地区和医院一级的服务使用和支出； （3）进行一项调查，比较患者对生活的感知质量，服务提供的接收和经验以及这些服务满足患者需求的能力； （4）进行多个案例研究，以了解哪些患者需要更好地控制其生活质量以及服务如何满足需求。道德与传播：伦理批准由荷兰拉德布德大学医学中心的伦理委员会（2016-2423）和亨内平卫生保健系统公司（HSR＃16-4230）的人体研究委员会授予。美国。多种方法将用于传播结果，包括（国际）研究报告和同行评审的出版物。将建立一个网站以支持实践社区的发展。

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