对癌症查共享决策工具的混合方法系统审查和元分析
Deborah Jael Herrera1, Wessel van de Veerdonk1,2, Neamin M Berhe1,3
1Social Epidemiology and Health Policy (SEHPO), Family Medicine and Population Health (FAMPOP) Department, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, 2610 Antwerp, Belgium.
Cancers
|August 12, 2023
概括
共享决策 (SDM) 工具提高了癌症查知识和意图,特别是对于弱势群体. 患者和临床医生更喜欢量身定制的,集成的工具,这凸显了合作开发的必要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者决策辅助工具 患者决策辅助工具
- 癌症查 癌症查
背景情况:
- 共享决策 (SDM) 对于有效的癌症查至关重要.
- 了解弱势群体和临床医生对SDM工具的偏好至关重要.
研究的目的:
- 综合关于SDM工具对癌症查有效性的证据.
- 探索患者和临床医生对SDM工具特征的偏好.
主要方法:
- 55项研究的系统审查和元分析.
- 混合方法融合分离方法与定量和定性数据合成.
主要成果:
- 可持续发展管理工具增强知识,减少决策冲突,增加查意图,特别是在弱势群体中.
- 弱势群体更喜欢文化定制,信息化和适当沟通的SDM工具.
- 临床医生更喜欢易于集成到医疗系统和指导实践中的SDM工具.
结论:
- 协同开发SDM工具对于满足各种患者和临床医生的需求至关重要.
- 关于SDM工具特征的有效沟通是成功实施癌症查的关键.
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