患者为中心的临床决策支持 - 我们在哪里,下一步要去哪里?
Prashila Dullabh1, Desirae Leaphart1, Rina Dhopeshwarkar1
1NORC at the University of Chicago.
Studies in health technology and informatics
|January 25, 2024
概括
以患者为中心的临床决策支持 (PC CDS) 工具需要更多的研究来有效地整合医疗保健中的患者需求和数据. 在PC CDS开发,实施和优化患者和护理人员支持方面仍然存在差距.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 临床决策支持 临床决策支持
背景情况:
- 以患者为中心的临床决策支持 (PC CDS) 涉及通过整合患者特定因素来帮助医疗保健决策的数字工具.
- PC CDS包含四个关键组成部分:知识,数据,交付和使用,旨在增强以患者为中心.
研究的目的:
- 探索PC CDS组件的当前状态:知识,数据,交付和使用.
- 确定每个组件如何在医疗保健中促进以患者为中心.
- 突出PC CDS中现有的差距和未来的研究方向.
主要方法:
- 一个全面的文献综述,包括175个同行评审和灰色文献来源.
- 在PC CDS中与利益相关者进行了18次关键信息员采访.
- 分析结果,以评估当前的情况,并确定关键差距.
主要成果:
- 确定了将患者的意见纳入PC CDS指南选择和优先级的需求.
- 突出了PC CDS工具开发,实施和患者数据捕获方面的挑战.
- 揭示了在不同环境中优化PC CDS的必要性,以满足患者和护理人员的需求.
结论:
- 在PCCDS组件方面的进展是显而易见的,但在实现真正的以患者为中心方面仍然存在重大差距.
- 进一步的研究和开发对于为患者和护理人员优化PC CDS至关重要.
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