腎不全患者のための死亡リスク予測ツールの開発:最終ユーザーの優先順位に関する名目グループテクニックの研究
Ping Liu1, Niamh Caffrey2, Maoliosa Donald1
1Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
まとめ
エンドユーザは,彼らの入力で設計された腎不全死亡リスクツールを望んでいます. これらのツールを患者や医療従事者と共同で設計することで,臨床実務における使いやすさと採用を向上させることができます.
科学分野:
- ネフロロジーはネフロロジーを用います.
- 医療サービス 研究 医療サービス
- バイオ統計学 バイオ統計学
背景:
- 腎不全の死亡リスク予測のための既存のツールは,設計にエンドユーザーの関与が欠如しています.
- このエンドユーザーからの投入の欠如は,これらのツールの臨床採用を制限しています.
研究 の 目的:
- 死亡リスク予測ツールに対するエンドユーザーのニーズと好みを特定する.
- 腎不全患者のためのこれらのツールの開発と活用性を向上させる.
主な方法:
- オンラインコンセンサスワークショップでは,改変された名目グループテクニックが採用されました.
- 参加者は,カナダ全土の患者,介護者,医療従事者,政策立案者などでした.
- 議論のトランスクリプトを分析するために,従来のコンテンツ分析が使用されました.
主要な成果:
- エンドユーザは,腎臓科医の相談によるクリニック環境へのツールの統合を優先しました.
- パーソナライズされた予測時間帯と臨床変化に対する再評価は,主要な好みでした.
- 併発性疾患,腎不全の特徴,および脆弱性の状態の含有は,重要な予測変数として特定されました.
結論:
- エンドユーザは,死亡率予測ツールの設計と使用の考慮を強調した.
- 将来のツールをエンドユーザーの好みとともに共同設計することは,ユーザビリティと臨床採用の向上に不可欠です.
- 医療従事者の信頼や患者の準備といった要因に対処することは,成功するために不可欠です.
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