在一般实践中共享决策培训:快速审查
Taona Nyamapfene1, Haider Merchant1
1Royal Cornwall Hospital NHS Foundation Trust, Truro, UK.
Future healthcare journal
|October 3, 2023
概括
共享决策 (SDM) 培训改善了全科医生 (GP) 的行为,但并没有改善患者的结果. 需要更多关于实践技能培训方法的研究,以便在初级保健中有效实施SDM.
科学领域:
- 医学教育 医学教育
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要,但在初级保健机构中未得到充分利用.
- 现有的全科医生培训计划,以提高SDM技能,需要进行系统评估.
研究的目的:
- 对文献进行快速审查,以评估GP SDM培训方法的有效性及其对结果的影响.
主要方法:
- 在MEDLINE,EMBASE和CENTRAL数据库中进行了系统的文献搜索.
- 包括的研究进行了叙事综合,并使用医学教育研究研究质量仪器 (MERSQI) 评估了其质量.
主要成果:
- 确定了七项高质量的研究 (MERSQI平均分数为17.2/18).
- 基于理论的演讲是最常见的培训方法 (n=6).
- SDM培训对GP行为产生了积极影响 (2项研究),但对患者的治疗结果产生了有限的积极影响 (5项研究中的1项).
结论:
- 医生SDM培训有效地改善了临床医生的行为,但并没有始终证明对患者的结果有积极影响.
- 结合实践技能的培训方法,如角色扮演,显示出希望,但需要进一步调查.
- 未来的研究应该侧重于实际SDM培训方法的有效性和成本效益.
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