价值导向型医疗视角下促进患者全程参与的探索

Exploration of encouragement for full-range patient engagement in a value-based healthcare perspective

价值导向型医疗提倡以患者为中心,充分考虑患者在诊疗全过程中的需求和体验,实现可控医疗成本下人民群众健康和医疗效果的提升。在此视角下,如何充分发挥患者的主体价值和核心作用,让患者真正参与到医疗相关活动,显得尤为重要。作者对患者参与医疗全过程的相关概念和具体路径进行梳理总结,并结合专家访谈结果,从促进参与健康水平监测、疾病及就诊信息的获取、医患共同决策、患者参与医疗安全、患者报告结局、参与自我管理、参与患者组织及相关活动等方面提出具体意见建议,以期为相关医疗实践和政策制定提供参考和依据。

Value-based healthcare emphasizes the importance of taking patients′needs and experiences into full consideration during the entire diagnosis and treatment process and providing patient-centered medical services,so as to improve population health and medical outcomes with manageable medical costs.From this perspective,it is particularly important to investigate how patients could take full advantage of their subjective value and central role to engage in healthcare-related activities.This article aims to summarize the concepts and specific pathways relevant to patient engagement in the entire healthcare process,and provide specific suggestions and recommendations on promoting participation in health self-monitoring,access to disease and consultation information,shared decision-making(SDM)between doctors and patients,patients for patient safety(PFPS),patient-reported outcomes(PROs),participation in self-management,and participation in patient organizations,etc.This article provided valuable reference and evidence on implementation of relevant medical practices and policies.