Sağlık Hizmet Kalitesinde Hastanın Rolü

Year 2019, Volume: 2 Issue: 1, 22 - 26, 28.06.2019

Hişam Alahdab

Abstract

Bu derlemede, hastaların
sağlık hizmetlerine katılımı ve ortaklık yaklaşımı ile sağlıkta hizmet
kalitesine ve çıktılarına yansıması güncel literatür ışığında
değerlendirilmiştir. Son yıllarda, hastaların hizmetten beklentilerini
belirtmeleri incelenmiştir.  Bazı
çalışmalar, hasta ile ilişkili deneyim ölçütleri “Patient-related experience
mesaures “(PREM) ve hasta tarafından raporlanan çıktı ölçütleri
“Patient-reported outcome measures” (PROM) ile sağlık hizmet çıktıları arasında
pozitif korelasyon göstermiştir, ama hala ciddi kanıtlara ihtiyaç
duyulmaktadır. Öte yandan, hastaların katılımı arttıkça daha iyi sonuçlar ve
daha az maliyet elde edildiği gösterilmiştir. Ayrıca, hastaların ve
temsilcilerinin sağlık kalitesi iyileştirme araçlarında da rol alması konusunda
tartışmalar başlamıştır. Hasta odaklı standartlar, hasta ile ortak karar vermenin
de ötesinde organizasyonun kalite çalışmaları içerisinde hastanın da
perspektifini görmek istemektedir. Bugüne kadar yapılan çalışmalar, hastaların
aktif katılıımının hasta memnuniyetine, hizmet süreç ve sonuçlarına, maliyete
ve hatta çalışan memnuniyetine olumlu yansıdığını göstermiştir.

Keywords

Hasta Katılımı, Hasta Bağlılığı, Kalite Memnuniyeti

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