提供决策指导实践的决定因素,以促进基于价值观的知情决策:混合方法系统审查协议
Birte Berger-Höger1, Krystina B Lewis2,3, Katherine Cherry4
1Institute of Public Health and Nursing Research, Faculty 11 Human and Health Sciences, University of Bremen, Bremen, Germany birte.berger-hoeger@uni-bremen.de.
BMJ open
|November 15, 2023
概括
决策指导支持患者做出健康决策. 本次审查确定了影响其实践的因素,以改善患者参与和共享决策.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 患者的决策制定 患者的决策
背景情况:
- 决策指导是一种非指导性的方法,用于支持患者做出明智的健康决策.
- 目前关于决策指导有效性的证据的确定性很低.
- 了解实践的决定因素对于改善决策指导实施至关重要.
研究的目的:
- 系统地审查和综合提供决策指导的实践决定因素.
- 确定影响决策指导的因素,以加强患者参与决策.
- 探索关于在医疗保健中使用决策指导的多种观点.
主要方法:
- 一个混合方法的系统审查,遵循Cochrane手册指南.
- 在主要数据库 (Medline,EMBASE,Cochrane CENTRAL,PsycINFO,CINAHL) 进行搜索和专家咨询.
- 使用在实施研究综合框架 (CFIR) 上映的框架对决定因素进行定性内容分析.
主要成果:
- 将确定和综合决策指导实践的决定因素.
- 将阐明影响决策指导提供和采用决策指导的障碍和推动因素.
- 证据将从定量,定性和混合方法研究中合成.
结论:
- 这一审查将全面了解影响决策指导实践的因素.
- 调查结果将为优化决策指导的实施和有效性的策略提供信息.
- 该研究旨在加强患者参与以证据为基础,以价值观为基础的健康决策.
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