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Proceso de toma de decisiones de los proveedores de atención médica sobre el método de cateterización: un estudio de
Coen Huibert Harry Christiaans1, Felice Emanuela Espèrance van Veen1, Jeroen Ronald Scheepe1
1Department of Urology, Erasmus MC Rotterdam, Rotterdam, The Netherlands.
Neurourology and urodynamics
|January 30, 2026
Resumen
Los proveedores de atención médica muestran una toma de decisiones variada para los métodos de drenaje de la vejiga. La toma de decisiones compartida y las ayudas para la toma de decisiones pueden mejorar la colaboración entre pacientes y proveedores en las opciones de cateterización.
Área de la Ciencia:
- Urología
- Gestión de la atención médica
- Atención al paciente
Sus antecedentes:
- Las necesidades individualizadas del paciente son clave para la selección del método de cateterización.
- La toma de decisiones actual sobre el drenaje asistido de la vejiga carece de transparencia y estandarización.
Objetivo del estudio:
- Explorar y comparar la toma de decisiones de los proveedores de atención médica holandeses para la cateterización y el manejo de la vejiga.
- Informar el empoderamiento del paciente y el desarrollo de una ayuda para la toma de decisiones sobre cateterización.
Principales métodos:
- Encuesta nacional a urólogos, médicos de rehabilitación, asistentes médicos y enfermeras especializadas.
- Una encuesta de 12 preguntas evaluó los procesos de toma de decisiones, las opciones de tratamiento y los factores influyentes.
Principales resultados:
- 108 proveedores de atención médica respondieron (tasa de respuesta del 36%); la mayoría eran enfermeras o urólogos.
- Las enfermeras de continencia fueron las menos involucradas.
- El 53% no discutió tratamientos alternativos para las causas subyacentes.
- Las decisiones se basaron principalmente en las características del paciente.
Conclusiones:
- Existen diferencias significativas en los procesos de toma de decisiones de los proveedores de atención médica.
- La toma de decisiones compartida mejora la colaboración entre pacientes y proveedores en la selección del manejo de la vejiga.
- Se recomiendan capacitación y ayudas para la toma de decisiones validadas para mejorar los resultados.
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