影响复杂卫生服务中人类决策的属性:范围审查
Nandini Doreswamy1,2, Louise Horstmanshof1
1Faculty of Health, Southern Cross University, Lismore, Australia.
JMIR human factors
|December 20, 2023
概括
人类在卫生服务中的决策是复杂的,涉及的不仅仅是理性的指标. 本次审查确定了影响卫生政策和监管的独特人类属性,这些属性对于更好的决策至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 决策科学 决策科学
- 卫生政策和法规 卫生政策和法规
背景情况:
- 当前的医疗服务决策在很大程度上依赖于合理性和基于经济学的理论,如预期效用理论.
- 随着COVID-19的流行,卫生政策和监管中纯粹理性的指标的局限性得到了突显.
- 伦理,道德和其他复杂的因素显著影响决策超出基于证据的理性.
研究的目的:
- 在复杂的卫生服务中识别和绘制影响人类决策的属性.
- 系统地审查同行评审的关于健康服务中人类决策属性的文献.
主要方法:
- 采用了符合PRISMA-ScR标准的范围审查方法.
- 通过ProQuest,Scopus,PubMed和Web of Science进行了文学搜索.
- 定义了包含/排除标准,然后进行引用跟踪以确定相关论文.
主要成果:
- 该评论分析了1976年至2022年间发表的8篇论文.
- 一项专题分析确定了影响卫生服务决策的关键主题.
- 结果表明,虽然理性是普遍存在的,但独特的人类属性也起着重要作用.
结论:
- 复杂的医疗服务中的决策受到既根深蒂固的理性,又受到独特的人类属性的影响.
- 认识到这些不同的属性对于改善卫生政策和监管决策至关重要.
- 这些发现对当代医疗保健服务决策产生影响.
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