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Optimizing the Modified No-Scalpel Vasectomy Technique
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血管切除提供者的决策平衡自主性和非有害性:与提供者的定性访谈
Alison T Hoover1, Dominick Shattuck2, Karen L Andes3
1Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, Georgia, 30322, USA.
Gates open research
|February 14, 2024
概括
血管切除术提供者有时优先考虑预防患者的遗憾,而不是患者的自主权,特别是在复杂的病例中. 培训应加强共享决策和以患者为中心的护理,以提供输精管切除术.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 男人的健康 男人的健康
- 避孕药是一种避孕药,用于避孕.
背景情况:
- 血管切除术是一种高效,低风险的男性绝育方法.
- 尽管有好处,但 vasectomy 在全球范围内仍未得到充分利用.
- 医疗保健提供者影响了输精管切除术的采用.
研究的目的:
- 为了探索输精管切除提供者的决策理性.
- 了解医疗服务提供者在复杂病例中如何评估患者的候选人.
主要方法:
- 与来自7个国家的15名输精管切除提供者的半结构面试.
- 专题分析采访数据和案例简报.
- 探索提供者培训,动机和挑战.
主要成果:
- 提供者决定平衡患者的信息,同意和确定性.
- 影响决策的因素包括培训,法律,规范,经验和同行影响.
- 提供者将患者的自主权与非恶性权衡,有时优先考虑非恶性权以避免遗憾.
结论:
- 一些医疗服务提供者在输精管切除术候选中优先考虑非恶性比患者自主性.
- 这种优先级在感知后悔风险较高的情况下更常见.
- 强化培训在共享决策和以患者为中心的护理是推给输精管切除提供者.
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