一般实践医生的共同决策表现:一种结合观察员,住院医生和患者视角的观察性研究
Anouk Baghus1, Esther Giroldi1,2, Jasper van Geel1
1Department of Family Medicine, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.
Family practice
|January 11, 2024
概括
医疗人员在观察到和感知到的共享决策 (SDM) 技能之间存在很大的差距. 提高对这种不一致性的认识是改善SDM在一般实践中的实施的关键.
科学领域:
- 医学教育 医学教育
- 一般的做法一般的做法
- 健康 专业 教育 卫生 专业 教育
背景情况:
- 共享决策 (SDM) 对于以人为中心的护理至关重要,但由于其复杂性,对全科医生来说具有挑战性.
- 居民必须整合来自多个领域的知识和技能,以有效地应用SDM.
研究的目的:
- 调查荷兰居民在一般实践环境中观察和感知SDM的性能.
- 确定影响SDM表现和居民对SDM的看法的因素.
主要方法:
- 从98次记录的咨询中使用观察员 (OPTION5规模),住院人和患者的角度评估SDM绩效.
- 通过验证的问卷和咨询后反来评估所感知的SDM绩效.
- 使用描述性和探索性的双变量统计数据进行分析.
主要成果:
- 观察到的SDM平均表现为19.1,与居民自我报告的 (56.9) 和患者报告的 (73.3) 分数形成鲜明对比.
- 观察到的SDM性能与SDM的感知相关性,以及咨询持续时间之间发现了正相关性.
- 显著的差异突出了居民如何看待他们的SDM技能和他们如何被观察之间的差距.
结论:
- 在全科医生中,观察到和感知到的SDM绩效之间存在着显著的不一致.
- 提高对这种差异的认识对于推动SDM在临床实践中的实施至关重要.
- 需要进一步的干预来弥合差距,并提高医疗住院期间的SDM能力.
关键词:
决策是做出决策的过程.教育教育教育教育的教育.一般的做法一般的做法.研究生研究生毕业生.医疗 医疗 医疗 医疗观察性研究是一种观察性研究.患者参与度 患者参与度以患者为中心的护理.分享的共享共享的共享.更多相关视频
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