在门诊结肠镜检查之前通过知情同意视频改善同意过程
Emily W Lopes1,2, Leo Boneschansker1, Jacqueline N Chu3
1Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts.
Gastro hep advances
|December 13, 2023
概括
在手术前两天向患者提供结肠镜同意视频并没有改变整体满意度. 然而,患者报告说,他们有更多的时间与医生交谈,医生发现同意过程更有效.
科学领域:
- 改善医疗质量 改善医疗质量
- 患者体验 患者体验
- 胃肠病学 胃肠病学
背景情况:
- 对结肠镜等手术的知情同意对于患者的自主性至关重要.
- 目前的做法往往包括在手术前立即获得同意,从而限制了患者的决策时间.
- 一项质量改善计划旨在解决这些局限性.
研究的目的:
- 评估预程序知情同意视频对门诊结肠镜检查患者满意度的影响.
- 为了评估患者报告的满意度与医生讨论时间的变化.
- 检查医生报告的对同意过程效率的满意度.
主要方法:
- 在一个学术医疗中心进行了一项质量改进研究.
- 接受门诊结肠镜检查的患者在手术前两天通过短信平台获得了知情同意视频.
- 患者满意度得分 (干预前和干预后) 使用逻辑回归进行比较,根据年龄和性别进行调整.
主要成果:
- 整体患者满意度评分在干预前后组之间没有显著差异.
- 干预后组的患者更有可能报告他们对与医生交谈的时间感到满意.
- 医生报告说,他们对干预后同意过程效率的满意度明显更高.
结论:
- 在结肠镜检查前两天发布的知情同意视频不会改变患者的整体满意度.
- 这种干预改善了患者报告的医生沟通时间的满意度.
- 基于视频的同意过程提高了医生对同意效率的满意度.
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