医疗保健提供者对多发性硬化症共享决策的见解:叙述性审查
Sharon Stoll1, Kathleen Costello2, Scott D Newsome3
1Stoll Medical Group, Philadelphia, PA, USA. stollsharon@gmail.com.
Neurology and therapy
|January 5, 2024
概括
共享决策 (SDM) 提高了患者的坚持和多发性硬化症 (MS) 的结果. 医疗保健提供者必须解决患者特定的障碍,以优化SDM和治疗满意度.
科学领域:
- 神经学 神经学
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 共享决策 (SDM) 对于优化治疗坚持和结果至关重要,特别是在复杂的多发性硬化症 (MS) 中,具有复杂的高效疗法.
- 关于SDM在MS临床实践中的有效性的直接证据有限.
- 患者的年龄,种族,感知,看不见的症状和并发症等因素可能会阻碍SDM参与.
研究的目的:
- 审查多发性硬化症 (MS) 治疗中SDM的潜在障碍.
- 为医疗保健提供者 (HCP) 提供克服这些障碍的策略.
- 通过改进SDM来提高患者满意度和治疗结果.
主要方法:
- 文献综述确定了影响患者参与SDM的因素.
- 在多发性硬化症 (MS) 治疗的背景下分析SDM的障碍.
- 为医疗保健人员制定战略方法,以促进SDM.
主要成果:
- 确定了多种影响SDM的患者特异性因素 (年龄,种族,症状,心理并发症).
- 强调医疗保健专家需要积极解决这些因素,并促进患者参与.
- 强调了医疗保健工作者在确保患者感到知情和舒适地参与治疗决策方面的作用.
结论:
- 解决SDM的障碍对于有效的多发性硬化症 (MS) 管理至关重要.
- 医疗保健人员需要策略来促进SDM,考虑个体患者的需求和情况.
- 优化SDM可以提高患者的满意度,并改善MS患者的治疗结果.
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