長期状態に関する複数の協議のための共同意思決定の措置: スコーピングレビュープロトコル
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
まとめ
このレビューは,初等医療における複数の疾患を持つ高齢者のための 共有された意思決定策を図示しています. 患者中心のケアと自己管理戦略の改善に役立つ 証拠のギャップを特定します
科学分野:
- 高齢者医療
- 主要な医療研究
- 医療サービス研究
背景:
- 多発性慢性疾患 (MLTC) の世界的な流行は,主治医の介護を困難にしています.
- 患者中心のケア,自己管理,MLTC管理の効率化には,共有意思決定 (SDM) が不可欠です.
- プライマリケアにおける高齢者に対する実用的なガイドラインと検証されたSDM対策が必要である.
研究 の 目的:
- 共同意思決定 (SDM) 措置に関する証拠の範囲と種類を理解するために,スコーピングの見直しを実施する.
- 長期にわたる多発性疾患 (MLTC) を患っている高齢者への相談に適したSDM対策を特定する.
主な方法:
- ジョアンナ・ブリッグス・インスティテュート (JBI) のスコーピング・レビューの方法論に従うこと.
- 主要なデータベース (PubMed,Embase,CINAHL,Cochrane) とグレーの文献で包括的な文献検索を行いました.
- 西洋化された医療システムにおける成人の患者と医師の相談のためのSDM対策を報告する研究を含む.日付や言語の制限なし.
主要な成果:
- 既存のSDM対策に含まれる領域と内容の幅をマッピングします.
- 分析により,対象集団と環境に対する現在の措置の適用性と限界を特定する.
- 主要ケアにおけるMLTCの高齢者におけるSDM測定に関する証拠のギャップが強調されます.
結論:
- このスコーピングレビューは,プライマリケアにおけるMLTCの高齢者に関連するSDM対策の包括的な概要を提供します.
- 発見は,この複雑な患者グループにおけるSDMの実施のためのベストプラクティスと実用的なガイドラインの開発に役立つでしょう.
- このレビューは,多発性慢性疾患の患者の関与,自己管理,および治療の有効性を強化することを目的としています.
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