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Medidas de toma de decisiones compartida para consultas múltiples sobre condiciones a largo plazo: un protocolo de
Joanne Butterworth1, Karen Mattick1, Suzanne Richards2
1Department of Health and Community Sciences, St Luke's Campus, University of Exeter, Exeter, UK.
JBI evidence synthesis
|August 26, 2025
Resumen
Esta revisión traza las medidas de toma de decisiones compartidas para adultos mayores con múltiples afecciones en la atención primaria. Identifica las lagunas de evidencia para guiar mejores estrategias de atención y autogestión centradas en el paciente.
Área de la Ciencia:
- Medicina para la edad avanzada
- Investigación de la atención primaria
- Investigación en servicios de salud
Sus antecedentes:
- El aumento de la prevalencia mundial de enfermedades múltiples a largo plazo (MLTC) hace que la atención primaria sea difícil.
- La toma de decisiones compartida (SDM) es crucial para la atención centrada en el paciente, la autogestión y la eficiencia en la gestión de MLTC.
- Existe una necesidad de orientación pragmática y medidas de gestión de la salud válidas aplicables a los adultos mayores con TLCM en la atención primaria.
Objetivo del estudio:
- Realizar una revisión de alcance para comprender el alcance y el tipo de pruebas sobre las medidas de toma de decisiones compartida (MDC).
- Identificar medidas de gestión de la salud adecuadas para las consultas que involucren a personas mayores con enfermedades múltiples de larga duración (MLTC) en centros de atención primaria.
Principales métodos:
- Adherencia a la metodología del Instituto Joanna Briggs (JBI) para las revisiones de alcance.
- Una búsqueda exhaustiva de la literatura en las principales bases de datos (PubMed, Embase, CINAHL, Cochrane) y la literatura gris.
- La inclusión de estudios que informen sobre las medidas de MDS para las consultas entre pacientes adultos y médicos dentro de los sistemas de salud occidentalizados, sin restricciones de fecha o idioma.
Principales resultados:
- La revisión trazará un mapa de la amplitud de los ámbitos y contenidos cubiertos por las medidas de gestión de los recursos humanos existentes.
- El análisis determinará la aplicabilidad y las limitaciones de las medidas actuales para la población objetivo y el entorno.
- Se destacarán las lagunas de evidencia con respecto a la medición de la SDM en adultos mayores con TLCM en la atención primaria.
Conclusiones:
- Esta revisión de alcance proporcionará una visión global de las medidas de gestión de la salud relevante para los adultos mayores con TLCM en la atención primaria.
- Los hallazgos servirán de base para el desarrollo de mejores prácticas y orientaciones pragmáticas para la aplicación de la MDS en este complejo grupo de pacientes.
- La revisión tiene como objetivo mejorar la participación del paciente, la autogestión y la eficacia de la atención para las personas con múltiples afecciones crónicas.
Palabras clave:
Práctica generalenfermedades múltiples a largo plazo (multimorbilidad)atención centrada en el pacienteCuidados primariosProceso de decisión compartidoMás Videos Relacionados
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