高级检索

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

标准化患者在卫生服务质量评估中应用研究进展

李钦楠 吴健雄 王菁 龚言红 李慧 殷晓旭

李钦楠, 吴健雄, 王菁, 龚言红, 李慧, 殷晓旭. 标准化患者在卫生服务质量评估中应用研究进展[J]. 中国公共卫生, 2022, 38(12): 1619-1622. doi: 10.11847/zgggws1137819
引用本文: 李钦楠, 吴健雄, 王菁, 龚言红, 李慧, 殷晓旭. 标准化患者在卫生服务质量评估中应用研究进展[J]. 中国公共卫生, 2022, 38(12): 1619-1622. doi: 10.11847/zgggws1137819
LI Qin-nan, WU Jian-xiong, WANG Jing, . Application of standardized patients in health service quality assessment: a review on research progress[J]. Chinese Journal of Public Health, 2022, 38(12): 1619-1622. doi: 10.11847/zgggws1137819
Citation: LI Qin-nan, WU Jian-xiong, WANG Jing, . Application of standardized patients in health service quality assessment: a review on research progress[J]. Chinese Journal of Public Health, 2022, 38(12): 1619-1622. doi: 10.11847/zgggws1137819

标准化患者在卫生服务质量评估中应用研究进展

doi: 10.11847/zgggws1137819
基金项目: 国家自然科学基金(71874060)
详细信息
    作者简介:

    李钦楠(1997 – ),女,浙江湖州人,硕士在读,研究方向:卫生政策评价

    通信作者:

    殷晓旭,E-mail:yxx@hust.edu.cn

  • 中图分类号: R 19

Application of standardized patients in health service quality assessment: a review on research progress

  • 摘要: 卫生服务质量的科学测量是卫生服务质量提升的重要前提,而标准化患者(SPs)则被认为是评估卫生服务质量的黄金准则,能够有效捕获卫生服务提供者的真实工作表现。目前SPs在卫生服务质量评价领域的应用主要集中于初级卫生保健、医患沟通和药学实践等方面,该方法较医疗记录收集到的信息更为全面且更加直接准确,但需耗费较大的人力、物力和财力以及涉及到复杂的伦理问题,因此建议在开展SPs调查时应充分考虑道德风险,同时应设计合理的案例脚本并加强SPs培训的规范性,此外还应对SPs的有效性进行科学验证。
  • [1] 付强. 创新政府医疗服务质量及安全监管: 动因与路径[J]. 中国行政管理, 2018(10): 13 – 16.
    [2] 方一安, 姜少华, 王庆志, 等. 医疗服务质量测量方法研究进展[J]. 现代预防医学, 2019, 46(9): 1624 – 1626.
    [3] Siminoff LA, Rogers HL, Waller AC, et al. The advantages and challenges of unannounced standardized patient methodology to assess healthcare communication[J]. Patient Education and Counsel-ing, 2011, 82(3): 318 – 324. doi: 10.1016/j.pec.2011.01.021
    [4] 体制改革司. 国务院深化医药卫生体制改革领导小组简报(第154期)河南省周口市高质量推进紧密型县域医共体建设[EB/OL]. (2022 – 02 – 15)[2022 – 04 – 07]. http://www.nhc.gov.cn/tigs/ygjb/202202/368e7bbebabf4169a9bcc1d384ebd540.shtml.
    [5] 胡三莲, 何丹, 周玲, 等. 标准化病人在临床护理教学中的应用进展[J]. 中国护理管理, 2013, 13(9): 58 – 60.
    [6] Bokken L, Van Dalen J, Rethans JJ. Performance - related stress symptoms in simulated patients[J]. Medical Education, 2004, 38(10): 1089 – 1094. doi: 10.1111/j.1365-2929.2004.01958.x
    [7] 徐伟, 刘慧, 谭元珍. 标准化病人的培训及其在临床教学中的应用[J]. 中国医学工程, 2008, 16(4): 305 – 307.
    [8] 邵永祥. 标准化病人教学方法在医患沟通实践教学中的探索[J]. 中国医学伦理学, 2010, 23(3): 90 – 91. doi: 10.3969/j.issn.1001-8565.2010.03.038
    [9] 赵桂黔, 潘秋菊, 曾祥革. 简易标准化病人的培养和应用[J]. 医学教育, 2000(4): 34 – 36.
    [10] Barrows HS. An overview of the uses of standardized patients for teaching and evaluating clinical skills. AAMC[J]. Academic Medicine, 1993, 68(6): 443 – 451. doi: 10.1097/00001888-199306000-00002
    [11] Rosenhan DL. On being sane in insane places[J]. Science, 1973, 179(4070): 250 – 258. doi: 10.1126/science.179.4070.250
    [12] Norman GR, Neufeld VR, Walsh A, et al. Measuring physicians' performances by using simulated patients[J]. Journal of Medical Education, 1985, 60(12): 925 – 934.
    [13] 何晓峰, 张存泰, 刘文励, 等. 内科标准化病人的培训及在客观结构临床考试中的应用[J]. 中国现代医学杂志, 2007, 17(11): 1403 – 1404,1407. doi: 10.3969/j.issn.1005-8982.2007.11.037
    [14] 高洁, 王志宏, 刘军, 等. 应用标准化病人进行强化训练的效果评价[J]. 医学教育探索, 2007, 6(4): 339 – 340.
    [15] 王勇, 李华艳, 孙玫, 等. 湖南省基层医疗卫生机构医务人员慢性病管理能力现状调查[J]. 中国公共卫生, 2016, 32(9): 1231 – 1234. doi: 10.11847/zgggws2016-32-09-25
    [16] 袁璟, 邸燕, 王金娜, 等. 基层卫生人员医疗卫生知识水平测试分析[J]. 中国公共卫生, 2012, 28(6): 815 – 816. doi: 10.11847/zgggws-2012-28-06-36
    [17] Sylvia S, Shi YJ, Xue H, et al. Survey using incognito standardized patients shows poor quality care in China's rural clinics[J]. Health Policy and Planning, 2015, 30(3): 322 – 333. doi: 10.1093/heapol/czu014
    [18] Das J, Holla A, Das V, et al. In urban and rural India, a standardized patient study showed low levels of provider training and huge quality gaps[J]. Health Affairs (Millwood), 2012, 31(12): 2774 – 2784. doi: 10.1377/hlthaff.2011.1356
    [19] Burger R, Christian CS, Gerdtham UG, et al. Use of simulated patients to assess hypertension case management at public health-care facilities in South Africa[J]. Journal of Hypertension, 2020, 38(2): 362 – 367. doi: 10.1097/HJH.0000000000002258
    [20] Burke W, Culver J, Pinsky L, et al. Genetic assessment of breast cancer risk in primary care practice[J]. American Journal of Medical Genetics Part A, 2009, 149A(3): 349 – 356. doi: 10.1002/ajmg.a.32643
    [21] Sylvia S, Xue H, Zhou CC, et al. Tuberculosis detection and the challenges of integrated care in rural China: a cross - sectional standardized patient study[J]. PLoS Medicine, 2017, 14(10): e1002405. doi: 10.1371/journal.pmed.1002405
    [22] Wu YJ, Zhou H, Ma X, et al. Using standardised patients to assess the quality of medical records: an application and evidence from rural China[J]. BMJ Quality and Safety, 2020, 29(6): 491 – 498. doi: 10.1136/bmjqs-2019-009890
    [23] Taormina DP, Zuckerman JD, Karia R, et al. Clinical skills and professionalism: assessing orthopaedic residents with unannounced standardized patients[J]. Journal of Surgical Education, 2018, 75(2): 427 – 433. doi: 10.1016/j.jsurg.2017.08.001
    [24] Chang DT, Mann M, Sommer T, et al. Using standardized patients to assess hospitalist communication skills[J]. Journal of Hospital Medicine, 2017, 12(7): 562 – 566. doi: 10.12788/jhm.2772
    [25] Grosseman S, Novack DH, Duke P, et al. Residents′ and standardized patients′ perspectives on empathy: issues of agreement[J]. Patient Education and Counseling, 2014, 96(1): 22 – 28. doi: 10.1016/j.pec.2014.04.007
    [26] Wang J, Gong YH, Wu JX, et al. Antibiotic dispensing patterns and patient interventions for upper respiratory tract infections by hospitals and retail pharmacies: a cross - sectional study based on standardized patients[J]. Social Science and Medicine, 2021, 272: 113729. doi: 10.1016/j.socscimed.2021.113729
    [27] Chang J, Xu S, Zhu S, et al. Assessment of non - prescription antibiotic dispensing at community pharmacies in China with simulated clients: a mixed cross - sectional and longitudinal study[J]. The Lancet Infectious Diseases, 2019, 19(12): 1345 – 1354. doi: 10.1016/S1473-3099(19)30324-X
    [28] Kashour TS, Joury A, Alotaibi AM, et al. Quality of assessment and counselling offered by community pharmacists and medication sale without prescription to patients presenting with acute cardiac symptoms: a simulated client study[J]. European Journal of Clinical Pharmacology, 2016, 72(3): 321 – 328. doi: 10.1007/s00228-015-1981-1
    [29] Aziz MM, Yang SM, Masood I, et al. An assessment of counseling quality provided by community pharmacies to type 2 diabetic adult patients for oral therapy: a simulated patient study from Paki-stan[J]. Endocrine Journal, 2019, 66(3): 233 – 239. doi: 10.1507/endocrj.EJ18-0429
    [30] Paravattil B, Kheir N, Yousif A. Utilization of simulated patients to assess diabetes and asthma counseling practices among community pharmacists in Qatar[J]. International Journal of Clinical Pharmacy, 2017, 39(4): 759 – 768. doi: 10.1007/s11096-017-0469-8
    [31] Li L, Lin CQ, Guan JH. Using standardized patients to evaluate hospital - based intervention outcomes[J]. International Journal of Epidemiology, 2014, 43(3): 897 – 903. doi: 10.1093/ije/dyt249
    [32] Fisher H, Re C, Wilhite JA, et al. A novel method of assessing clinical preparedness for COVID - 19 and other disasters[J]. International Journal for Quality in Health Care, 2021, 33(1): mzaa116. doi: 10.1093/intqhc/mzaa116
    [33] Björnsdottir I, Granas AG, Bradley A, et al. A systematic review of the use of simulated patient methodology in pharmacy practice research from 2006 to 2016[J]. International Journal of Pharmacy Practice, 2020, 28(1): 13 – 25. doi: 10.1111/ijpp.12570
    [34] Xu DR, Hu MY, He WJ, et al. Assessing the quality of primary healthcare in seven Chinese provinces with unannounced stand-ardised patients: protocol of a cross-sectional survey[J]. BMJ Open, 2019, 9(2): e023997. doi: 10.1136/bmjopen-2018-023997
    [35] Borkhoff CM, Hawker GA, Kreder HJ, et al. Patients′ gender affected physicians' clinical decisions when presented with standardized patients but not for matching paper patients[J]. Journal of Clinical Epidemiology, 2009, 62(5): 527 – 541. doi: 10.1016/j.jclinepi.2008.03.009
    [36] Daniels B, Kwan A, Pai M, et al. Lessons on the quality of tuberculosis diagnosis from standardized patients in China, India, Kenya, and South Africa[J]. Journal of Clinical Tuberculosis and Other Mycobacterial Diseases, 2019, 16: 100109. doi: 10.1016/j.jctube.2019.100109
    [37] 孙高翔. 基于Geoffrey Norman模式标准化病人培训方案的初步构建[J]. 护理学杂志, 2017, 32(23): 22 – 25. doi: 10.3870/j.issn.1001-4152.2017.23.022
    [38] King JJC, Das J, Kwan A, et al. How to do (or not to do) … using the standardized patient method to measure clinical quality of care in LMIC health facilities[J]. Health Policy and Planning, 2019, 34(8): 625 – 634. doi: 10.1093/heapol/czz078
    [39] Newlin-Canzone ET, Scerbo MW, Gliva-McConvey G, et al. The cognitive demands of standardized patients: understanding limita-tions in attention and working memory with the decoding of non-verbal behavior during improvisations[J]. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 2013, 8(4): 207 – 214. doi: 10.1097/SIH.0b013e31828b419e
    [40] 余敏, 龚雯洁, 薛文庆, 等. 匿名标准化病人在心理健康领域的应用: 一项系统综述[J]. 中国临床心理学杂志, 2021, 29(1): 133 – 138.
  • 加载中
计量
  • 文章访问数:  344
  • HTML全文浏览量:  134
  • PDF下载量:  52
  • 被引次数: 0
出版历程
  • 接收日期:  2021-12-24
  • 网络出版日期:  2022-08-31
  • 刊出日期:  2022-12-10

目录

    /

    返回文章
    返回