与复杂手术相关的以患者为中心的决策中的差距:混合方法研究
Elizabeth Palmer Kelly1, Laura J Rush2, Jennifer L Eramo2
1Department of Surgery, Comprehensive Cancer Center, Columbus, Ohio.
The Journal of surgical research
|December 24, 2023
概括
外科医生认为患者更愿意自己做出健康决定. 了解患者的偏好和信息需求是改善复杂手术中以患者为中心的决策 (PCDM) 的关键.
科学领域:
- 外科手术决策的制定能力
- 以患者为中心的护理
- 健康 结果 研究 研究 结果
背景情况:
- 了解外科医生对患者在决策中的角色的看法对于有效的以患者为中心的决策至关重要.
- 对进行复杂手术的外科医生进行了调查,以探讨他们对患者参与医疗保健选择的看法.
研究的目的:
- 调查外科医生对患者在决策中的偏好的看法.
- 检查外科医生对以患者为中心的决策 (PCDM) 的方法.
主要方法:
- 采用了并发嵌入式混合方法设计.
- 在线调查对一组执行复杂外科手术的外科医生进行了调查.
- 统计分析检查了外科医生认知和PCDM方法之间的关联.
主要成果:
- 绝大多数外科医生 (94.2%) 认为患者在考虑医生的建议后更愿意自己做出健康决策.
- 大多数外科医生 (73.0%) 不同意患者更喜欢医生为他们做决定.
- 只有12.2%的外科医生表示,他们评估了患者对决策和信息需求的偏好.
结论:
- 外科医生通常认为患者希望在健康决策中拥有自主权.
- 在复杂的手术中优化患者体验和结果可能会从更大的关注外科医生需要的信息来定制PCDM中受益.
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