泌尿科医生之间感知与实际的共享决策行为:对自我报告实践的融合,并行,混合方法研究
Giulia M Ippolito1, Katy Reines2, William D Meeks3
1Department of Urology, University of Michigan, Ann Arbor, MI; Ann Arbor VA Medical Center, Ann Arbor, MI.
Urology
|November 23, 2023
概括
大多数泌尿科医生使用共享决策 (SDM),但很少有人利用验证的预测工具. 这突出了在泌尿外科手术决策中加强SDM实施的机会.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
- 医疗决策的制定 医疗决策的制定
背景情况:
- 共享决策 (SDM) 在临床实践中至关重要.
- 将验证的预测工具集成到SDM中是一个不断发展的领域.
- 了解目前的泌尿科医生实践对于改善患者护理至关重要.
研究的目的:
- 评估泌尿科医生自觉使用SDM与他们使用验证的预测工具之间的关联.
- 探索泌尿科医生如何描述他们的手术决策过程.
主要方法:
- 融合混合方法研究使用2019年美国泌尿病学协会 (AUA) 年度人口普查的数据.
- 通过SDM和验证的预测工具模块收集的定量数据.
- 与精选的AUA人口普查受访者进行的定性访谈.
主要成果:
- 77%的泌尿科医生报告说经常使用SDM,而只有30%经常使用验证的预测工具.
- 预测工具的使用与定期使用SDM没有显著的关联 (31%对28%,P=.006).
- 预测工具用户更有可能使用决策辅助工具 (32%对26%,P<.001).
结论:
- 虽然大多数泌尿科医生实行SDM,但少数人使用经过验证的预测工具.
- 在定性采访中,SDM的特定组成部分很少被提及.
- 需要综合战略来加强泌尿病学中SDM的实施.
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