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Introducing physician associates to hospital patients: Development and feasibility testing of a patient experience‐based intervention

机译:向医院患者介绍医生员工:基于患者体验的干预措施的开发和可行性测试

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Background Physician associates (PAs) are one of many new mid‐level health practitioner roles being introduced worldwide. They are a recent innovation in English hospitals. Patient confusion with novel mid‐level practitioner titles and roles is well documented, alongside evidence of a positive association between patients’ ability to identify practitioners and patient satisfaction. No prior research developed an intervention to introduce PAs or any other new practitioner role to hospital patients. Objective To develop, with patient and public involvement and engagement (PPIE), an intervention for introducing the PA role to hospital patients, and to test feasibility. Methods Intervention development was underpinned by an experience‐based co‐design approach. Workshop participants generated ideas for introducing PAs, subsequently explored in semi‐structured interviews with hospital patients (n?=?13). Interview findings were used by participants in a second workshop to design the intervention. Feasibility of the intervention was assessed in relation to its acceptability and efficacy using semi‐structured interviews with hospital patients (n?=?20) and PAs (n?=?3). Results The intervention developed was a patient information leaflet. It was considered feasible to use in the hospital setting, helpful to patients in understanding the PA role and acceptable to both patients and PAs. The intervention was also appreciated by patients for providing reassurance of care and support. Conclusions An experience‐based co‐design approach enabled development of an intervention tailored to patients’ experiential preferences. Positive evidence of feasibility and utility is encouraging, supporting future larger‐scale testing. Patient and public contribution PPIE representatives were involved in the study design, intervention development and data interpretation.
机译:背景医师员工(PAS)是在全球介绍的新中级健康从业者角色之一。他们是英语医院的最近创新。与新型中级从业者标题和角色的患者混淆有很好的记录,以及患者识别从业者和患者满意度的积极关系的证据。没有先前的研究制定了对医院患者引入PAS或任何其他新的从业方作用的干预。目的致力于患者和公众参与和参与(PPIE),干预向医院患者介绍PA角色,并测试可行性。方法采用基于经验的共美设计方法受到干预发展。研讨会参与者产生了介绍PA的想法,随后在与医院患者的半结构化访谈中探索(N?= 13)。参与者在第二次研讨会上使用面试发现来设计干预。通过使用医院患者的半结构性访谈(n?= 20)和pas(n?= 32),对其可接受性和疗效进行评估干预的可行性。结果干预开发的是患者信息传单。它被认为在医院环境中使用,有助于患者理解PA角色,也有用,患者和PAS都是可接受的。患者也赞赏患者的干预,以便提供护理和支持的保证。结论基于经验的共美设计方法,使能为患者体验偏好量身定制的干预。可行性和公用事业的积极证据是鼓励,支持未来的更大规模的测试。患者和公共贡献PPIE代表参与了研究设计,干预开发和数据解释。

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