探索全科医生对临床评分的看法:一种定性研究
Maxime Pautrat1,2, Remy Palluau3, Loic Druilhe3
1Faculty of Medicine, University of Tours, EA7505 Education Ethique Santé, 10 boulevard Tonnellé, 37000, Tours, France. maxime.pautrat@univ-tours.fr.
Diagnostic and prognostic research
|June 12, 2023
概括
一般医生发现临床评分很有用,但由于有效性,可接受性和可行性问题,对于初级保健来说通常是不切实际的. 他们希望精心策划,以患者为中心的工具,能够有效地适应实践.
科学领域:
- 主要护理医学 医疗保健
- 临床决策支持 临床决策支持
- 定性研究是指质量研究.
背景情况:
- 临床评分有助于医生的决策,并被推用于初级保健.
- 评分的增多需要了解全科医生 (GP) 对其初级保健使用的期望.
研究的目的:
- 探索全科医生关于在一般实践中使用临床评分的意见和期望.
主要方法:
- 采用基于理论的方法进行定性研究.
- 焦点小组与来自法国中部的21名全科医生进行了讨论.
- 逐字分析和诱导分类用于概念化得分使用.
主要成果:
- 一般医生承认得分的临床有效性,但发现很难在初级保健中实施.
- 关键问题包括分数的有效性,可接受性 (缺乏上下文/人类因素) 和可行性 (太多,难以找到,管理复杂,耗时).
- 参与者建议学术社会应该选择适当的分数.
结论:
- 一般医生平衡效率与效率的得分,对决策的速度有不同的看法.
- 目前的评分仍然存在关于患者中心性和有限的生物心理社会方法的担忧.
- 在初级保健中,需要更加实用,精心策划和以患者为中心的临床评分.
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