"我的医生应该做出决定" - - 预测医疗保健用户关于医疗决策的陈述偏好
Søren Birkeland1, Marie Bismark2, Michael J Barry3
1Department of Clinical Research, University of Southern Denmark and Open Patient data Explorative Network, Odense University Hospital, J. B. Winsløws Vej 9 a, 3. floor, DK-5000 Odense, Denmark.
Patient education and counseling
|June 3, 2023
概括
低学历或患有慢性疾病的老年男性更喜欢医生来做决定. 然而,患者对共享决策的满意度仍然很高,无论表达的控制偏好如何.
科学领域:
- 医疗决策的制定 医疗决策的制定
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 了解患者对决策控制的偏好对于以患者为中心的护理至关重要.
- 以前的研究表明,患者希望参与医疗保健决策的方式存在变化.
研究的目的:
- 确定医疗保健用户声明的决策控制偏好的预测因素.
- 检查这些偏好和对不同决策情景的满意度之间的关联.
主要方法:
- 进行了一项横截面图片调查,采用了45-70岁男性的代表性样本.
- 参与者评价了满意度和控制偏好,以回应描绘不同程度患者参与度的片段.
- 用线性回归分析进行比较.
主要成果:
- 年龄较大,教育程度较低,慢性疾病和社会经济地位较低预测人们更喜欢让医生做决定.
- 在调整后,低教育和慢性疾病仍然是显著的预测因素.
- 性格特征较少开放的受访者更喜欢少控制.
- 当被呈现共享决策场景时,各组的满意度水平相似.
结论:
- 患者表达的控制偏好在不同的人口和健康状况群体之间有很大差异.
- 尽管偏好不同,但共享决策似乎在不同患者群体中促进了同等的满意度.
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