患者导航的概念分析
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女,博士在读,学生

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陕西省自然科学基金一般项目(2021JQ-069)


Concept analysis of patient navigation
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    摘要:

    目的 分析患者导航的概念发展及应用、属性、前因、结果及典型案例,为国内拓展患者导航临床实践提供参考。方法 系统检索万方数据、中国知网、维普网、PubMed、CINAHL、PsycINFO数据库中关于患者导航的文献,采用Rodgers演化概念分析法为指导进行分析。结果 共纳入61篇文献,提炼出患者导航的四大概念内涵,即以患者为中心、医患双向互动、协调整合资源和健康教育支持。服务接受方和提供方的相关因素均是患者导航的先决条件。患者导航能够给患者及家属、导航员及医疗卫生保健系统带来积极影响。结论 患者导航顺应了当下医疗健康理念的转变。未来研究应立足我国临床实际情境,提出本土化患者导航概念,并积极探索其与现行临床照护服务的融合点。同时,注重开发导航员资质培训和认证体系,从而促进患者导航在国内的长足发展。

    Abstract:

    Objective To analyze the development of patient navigation as well as its application, attributes, antecedents, consequences and cases, so as to provide recommendations for improving patient navigation in domestic clinical practice. Methods Literature on patient navigation were systematically retrieved from Wanfang, CNKI, VIP, PubMed, CINAHL and PsycINFO, and Rodger′s evolutionary concept analysis was used as the methodological framework for analysis. Results A total of 61 papers were included in this study. The concept attributes of patient navigation were summarized as follows:patient-centered, bilateral interaction between healthcare providers and patient, coordination and utilization of resources, health education and support. Antecedents included factors of the service receiver and factors of the provider. According to consequences, patient navigation played an extremely positive role in patients and caregivers, navigators, and the healthcare system. Conclusion Patient navigation is consistent with the current transformation of healthcare vision. Future research should be based on the clinical situation in our country, propose a localized patient navigation concept, and actively explore its integration with clinical services. Meanwhile, more attention should be paid to develop qualification training and certification system for navigators to promote the long-term development of patient navigation at home.

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任静,Nancy R Reynolds,张婧珺,李小妹.患者导航的概念分析[J].护理学杂志,2023,28(16):82-86

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  • 收稿日期:2023-03-08
  • 最后修改日期:2023-05-12
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  • 在线发布日期: 2023-12-29