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哪些因素影响了进行复杂手术的外科医生共同决策的方法?
Elizabeth Palmer Kelly1, Laura J Rush2, Halia L Melnyk2
1Comprehensive Cancer Center, Columbus, OH, USA.
Journal of communication in healthcare
|October 11, 2023
概括
经验和感知等外科医生因素影响共享决策 (SDM) 方法. 调整SDM以满足患者需求对于以患者为中心的护理至关重要.
科学领域:
- 医学社会学 医学社会学
- 医疗保健服务研究 医疗服务研究
- 在外科手术实践中.
背景情况:
- 共享决策 (SDM) 涉及患者和外科医生在治疗选择和护理目标上进行合作.
- 了解影响SDM的外科医生因素是改善以患者为中心护理的关键.
研究的目的:
- 描述有关SDM的外科医生之间的人口因素,行为和对患者参与的看法.
- 确定外科医生特征如何与他们对共享决策的方法有关.
主要方法:
- 采用横截面调查方法来评估外科医生的人口统计,行为和看法.
- 外科医生对SDM的方法从"患者主导" (0) 到"外科医生主导" (100) 进行量化.
主要成果:
- 外科医生SDM方法各不相同,平均评分为50.0.
- 经验影响了SDM:有10年以上经验的外科医生更喜欢"共享,患者领导" (27.5%),而经验较少的外科医生更喜欢"共享,外科医生领导" (33.3%).
- 使用"患者主导"方法的外科医生认为患者参与比使用"外科医生主导"方法的外科医生 (M=3.57) 更重要 (M=3.82).
结论:
- 外科医生的人口统计,行为和看法显著影响他们的SDM方法.
- 优化以患者为中心的护理需要外科医生和患者之间的动态和患者特定的SDM策略.
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