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在胃肠病学和炎症性肠病中共享决策的感知:定性分析
Livnat Blum1, Carlotta Micaela Jarach2, Moriah E Ellen3
1Department of Health Policy and Management, Guilford Glazer Faculty of Business and Management and Faculty of Health Sciences, Ben-Gurion University of the Negev, Israel.
Patient education and counseling
|July 12, 2023
概括
以色列的炎症性肠病 (IBD) 临床医生往往缺乏共享决策 (SDM) 的意识和培训. 解决知识差距和资源限制可以改善SDM的实施,以获得更好的患者护理.
科学领域:
- 胃肠病学 胃肠病学
- 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:
- 共享决策 (SDM) 对于将医疗决策与患者的价值观和证据保持一致至关重要.
- 以色列炎症肠病 (IBD) 临床医生对SDM的采用了解有限.
- 优化IBD管理和个性化护理需要探索SDM实施.
研究的目的:
- 确定在以色列各地的IBD临床实践中实施SDM的障碍和促进者.
- 了解IBD临床医生当前对SDM的认识和使用情况.
- 为未来的干预措施提供信息,以加强IBD护理中的SDM.
主要方法:
- 在以色列与IBD临床医生进行了16次半结构面试.
- 使用基于理论领域框架 (TDF) 的面试指南.
- 将编码的采访记录输入TDF领域,以分析影响SDM的因素.
主要成果:
- 大多数接受采访的临床医生都不知道"共享决策"一词,缺乏正式培训.
- 关键障碍包括有限的知识,技能,资源和与SDM相关的加强.
- 临床医生的专业身份和对IBD的信仰影响了SDM的采用.
结论:
- 以色列IBD诊所对SDM的重大障碍源于缺乏培训和意识.
- 临床医生的专业角色和对IBD的信念是SDM的关键促进者.
- 结果为开发干预措施提供了基础,将SDM纳入IBD管理.
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