患者参与治疗或查决策的帮助
Dawn Stacey1,2, France Légaré3, Krystina B Lewis1
1School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.
JAMA
|August 16, 2017
概括
患者决策辅助器 (PtDA) 通过提高决策质量,使患者感觉更知情,更参与,从而改善患者做出健康选择的方式. 这些辅助措施不会导致患者或卫生系统的情况恶化.
科学领域:
- 决策科学
- 医疗服务研究
- 以患者为中心的护理
背景情况:
- 有效的共同决策对于以患者为中心的护理至关重要.
- 患者决策辅助工具 (PtDA) 是旨在支持知情选择的工具.
- 关于PtDA的综合影响的证据仍在不断发展.
研究的目的:
- 评估PtDA与决策质量的关联.
- 评估PtDA对决策过程的影响.
- 确定PtDA是否会影响患者和卫生系统的结果.
主要方法:
- 随机对照试验的系统审查和元分析.
- 使用PtDA与通常护理或非PtDA对照的干预措施的比较.
- 评估结果,包括决策质量,过程措施和健康/系统结果.
主要成果:
- PtDA与改善决策质量有关,确保决策与证据和患者价值观保持一致.
- 使用PtDA的患者报告说,他们感觉更知情,价值观更清晰,参与决策更大.
- 没有证据表明PtDA使用对患者或卫生系统的结果更差.
结论:
- 患者的决策辅助工具提高了患者的选择质量和决策过程.
- 在不影响患者或系统结果的情况下,PtDA支持基于价值的知情决策.
- 在医疗保健中改善共享决策的有效工具是PtDA.
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