Assessing patient partnership among emergency departments in France: a cross-sectional study

BMC Health Services Research

Research

Marie-Pascale Pomey¹  Geoffrey Sagnol²  Véronique Potinet²  Marion Douplat³  Anne Termoz⁴  Julie Haesebaert⁵  Anne-Marie Schott⁶  Karim Tazarourte⁷  Philipe Michel⁸ 

[1] Department of Health Policy, Management and Evaluation, School of Public Health, University of Montreal, Montreal, QC, Canada;Hospices Civils de Lyon, Service d’Accueil des urgences, Hôpital Lyon Sud, 165 chemin du Grand Revoyet, F-69495, Pierre Bénite, France;Hospices Civils de Lyon, Service d’Accueil des urgences, Hôpital Lyon Sud, 165 chemin du Grand Revoyet, F-69495, Pierre Bénite, France;University Claude Bernard Lyon, U1290 Reshape, Lyon (Rhône), France;UMR 7268 ADéS, Aix-Marseille Université / EFS / CNRS, Espace éthique méditerranéen, Hôpital Adultes La Timone, 264 rue Saint Pierre, Marseille cedex 05, France;Pôle de Santé Publique, service de recherche et d’épidémiologie cliniques, Hospices Civils de Lyon, Lyon, France;Pôle de Santé Publique, service de recherche et d’épidémiologie cliniques, Hospices Civils de Lyon, Lyon, France;University Claude Bernard Lyon, U1290 Reshape, Lyon (Rhône), France;University Claude Bernard Lyon, U1290 Reshape, Lyon (Rhône), France;University Claude Bernard Lyon, U1290 Reshape, Lyon (Rhône), France;Hospices Civils de Lyon, Service d’Accueil des urgences, Hôpital Edouard Herriot, 5 place d’Arsonval, F-69003, Lyon, France;University Claude Bernard Lyon, U1290 Reshape, Lyon (Rhône), France;Hospices civils de Lyon, 69002, Lyon, France;

关键词: Emergency departments;    Partnership;    Cross-sectional studies;   

DOI  :  10.1186/s12913-023-09905-7

 received in 2023-01-29, accepted in 2023-08-11,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectivesThis study aims to describe the use of patient partnership, as defined by the Montreal Model, in emergency departments (EDs) in France and report the perception of patient partnership from both the practitioner and patient perspectives.MethodsThis cross-sectional study was conducted between July 2020 and October 2020. First, a survey was sent to 146 heads of EDs in both teaching hospitals and non-teaching hospitals in France to assess the current practices in terms of patient partnership in service organization, research, and teaching. The perceived barriers and facilitators of the implementation of such an approach were also recorded. Then, semi-structured telephone interviews were carried out with patients involved in a service re-organization project.ResultsA total of 48 answers (response rate 32.9%) to the survey were received; 33.3% of respondents involved patients in projects relating to service re-organization, 20.8% involved patients in teaching projects, and 4.2% in research projects. Overall, 60.4% of the respondents were willing to involve patients in re-organization or teaching projects. The main barriers mentioned for establishing patient partnership were difficulties regarding patient recruitment and lack of time. The main advantages mentioned were the improvement in patient/caregiver relationship and new ideas to improve healthcare. When interviewed, patients mentioned the desire to improve healthcare and the necessity to involve people with different profiles and backgrounds. A too important personal commitment was the most frequently raised barrier to their engagement. All the patients recognized their positive role, and more generally, the positive role of patient engagement in service re-organization.ConclusionAlthough this preliminary study indicates a rather positive perception of patient partnership among heads of EDs in France and partner patients, this approach is still not widely applied in practice.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023