共有意思決定の負担:SDM研究における負担評価の範囲調査
Victor Montori1, Fiorella Huijgens2, Michael R Gionfriddo1
1Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, USA.
Patient education and counseling
|February 19, 2026
まとめ
多くの研究が,共有意思決定 (SDM) の負担を間接的に評価している一方で,明示的にそれを測定する研究はありません. 将来の研究は,SDMの臨床実務を改善するためのSDM負担の評価に焦点を当てるべきです.
科学分野:
- 医療サービス 研究 医療サービス
- 意思決定科学 意思決定科学
- 患者との関わり合い
背景:
- 共有意思決定 (SDM) は,患者中心のケアにおいて極めて重要です.
- SDMのプロセスは,患者と臨床医に負担をかける可能性があります.
- この負担を理解することは,SDMの実装を最適化するために不可欠です.
研究 の 目的:
- SDMを評価する研究が関連する負担をどのように捉えているかについて,スコーピングレビューを実施する.
- 既存の文献でSDMの負担を評価するために使用される頻度と方法を特定します.
主な方法:
- Web of ScienceとScopusで関連する研究を検索した.
- SDMの測定スコアを報告し,SDMの負担を定量的にまたは質的に把握する研究が含まれています.
- 研究特性とSDMの評価方法とその負担に関する抽出したデータ.
- 負荷の評価は,認知的,感情的,社会的,時間的,物流的/財務的,および期待として分類されています.
主要な成果:
- 主に米国と腫瘍学の環境からの218の研究が含まれていました.
- SDMの負担を評価することを明示的に目的とした研究はなく,特定のツールも見つかりませんでした.
- 193の研究 (88.5%) は,しばしば決定的紛争スケールを用いて,間接的に負担の側面を捉えました.
- 認知的,感情的,社会的負担が最も頻繁に評価されました.
結論:
- 多くの研究では,SDMの負担の側面を間接的に捉えたが,直接的に評価したものはなかった.
- 将来の研究は,SDMの実践への影響を理解するためにSDMの負担を明示的に評価する必要があります.
- SDMの負担を評価することは,SDMの臨床採用を促進するための効果的な介入と政策を設計するために不可欠です.
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