对利益相关者对早期直肠癌治疗偏好的定性探索
Merrill E Rubens1, Timothy P Mayo1, Radhika K Smith2
1From the Department of Surgery.
概括
共享决策 (SDM) 对于早期直肠癌患者在手术和非手术治疗之间做出选择至关重要. 存在障碍,但决策辅助可以改善这一过程.
科学领域:
- 在瘤学瘤学.
- 决策科学 决策科学 决策科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 早期直肠癌患者面临的是手术和非手术管理之间的治疗选择.
- 这些偏好敏感的决定需要仔细考虑临床权衡和个人目标.
- 在这种情况下,共同决策 (SDM) 对于提高决策质量至关重要.
研究的目的:
- 探索临床医生和患者对早期直肠癌决策的观点.
- 在这个患者群体中确定共享决策的促进者和障碍.
主要方法:
- 对13名临床医生和15名被诊断患有早期直肠癌的患者进行了半结构面试.
- 使用决策支持框架指导面试问题.
- 使用专题分析分析了采访成绩单.
主要成果:
- 临床医生和患者都承认SDM对于高质量的治疗决策的重要性.
- 确定的障碍包括临床医生的动机变化,缺乏培训和时间限制.
- 对患者参与能力的看法也构成了挑战.
结论:
- SDM被认为是早期直肠癌治疗选择的关键.
- 需要通过加强培训和支持来解决障碍.
- 决策辅助工具可以标准化信息并促进SDM,与患者和临床医生的需求保持一致.
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