临床医生反使用共享决策工具来评估患有甲状腺结节的患者 - 一项观察性研究
Naykky Singh Ospina1, Chandani Patel Chavez2, Eddison Godinez Leiva2
1Division of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA. Naykky.SinghOspina@medicine.ufl.edu.
Endocrine
|September 11, 2023
概括
临床医生发现,在甲状腺结节护理中,一种新的对话辅助工具有利于共享决策 (SDM). 虽然有效,他们建议使该工具更灵活,以适应各种患者互动.
科学领域:
- 医疗信息学 医疗信息学
- 以患者为中心的护理
- 内分泌学 在内分泌学.
背景情况:
- 共享决策 (SDM) 对于管理甲状腺结节至关重要.
- 开发了一个试点对话辅助工具,以促进患者和临床医生之间的SDM.
- 这项研究评估了援助的使用和临床医生反.
研究的目的:
- 描述临床医生对甲状腺结节患者的新型SDM工具的反.
- 评估临床医生在临床接触期间如何使用该工具.
- 评估该工具对患者与临床医生合作的影响.
主要方法:
- 在两个学术中心进行了一项混合方法研究.
- 临床医生采访的专题分析提供了信息反的表征.
- 访问记录被分析为患者参与 (OPTION评分),工具忠实度和遭遇持续时间.
- 访问后的调查评估了工具的可用性和对合作的感知支持.
主要成果:
- 13名临床医生在53名患者中使用了SDM工具.
- 临床医生认为该工具是有组织的和有益的.
- 中位数的OPTION得分为34,忠实度为75%,中位数的访问持续时间为17分钟.
- 大多数临床医生发现该工具易于使用 (86%),有帮助 (65%),并支持合作 (62%).
结论:
- 临床医生成功地在甲状腺结节护理中实施了SDM工具.
- 这种工具通常被认为对患者和临床医生都有好处.
- 建议增加灵活性,以更好地适应各种临床对话.
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