德国的第二意见指令到达了病人吗? 一个平行融合混合方法研究研究
Susann May1, Nadja Könsgen2, Angelina Glatt2
1Center for Health Services Research, Brandenburg Medical School Theodor Fontane, 15562, Rüdersdorf, Germany.
BMC health services research
|November 4, 2023
概括
德国关于选择性手术的第二意见指令 (SOD) 没有按预期实施,患者往往没有得到信息. 然而,向患者告知他们获得第二意见的权利,可能会对医生与患者的关系产生积极的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者的决策制定 患者的决策
- 医疗政策实施 医疗政策实施
背景情况:
- 德国于2018年12月为特定的选择性手术引入了第二意见指令 (SOD).
- 该指令旨在防止不必要的手术,并赋予患者在医疗保健选择中的权力.
- 医生有义务向患者提供有关SOD的信息,当相关程序被指示时.
研究的目的:
- 调查SOD在德国临床实践中的实施情况.
- 了解医生如何向患者告知SOD.
- 探索患者对被告知他们有权获得第二意见的反应.
主要方法:
- 进行了一项并行融合混合方法研究.
- 通过26个患者采访收集了定性数据.
- 通过对102名患者的调查收集了定量数据.
主要成果:
- 对于研究的指示,SOD没有得到有效的实施,因为患者没有得到充分的信息.
- 患者采访显示,人们对SOD缺乏认识.
- 解释第二意见的权利对患者和医生的关系产生了积极的影响.
结论:
- 对于医生和患者来说,关于SOD存在一个重要的信息差距.
- 对SOD及其重要性的医生教育可能会改善实施.
- 提高公众对第二意见选项的认识对于患者赋权至关重要.
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