初级保健医生的不确定性耐受性:与与决策相关的共享感知,实践和医生特征的关系
K D Valentine1, Lauren Leavitt2, Karen R Sepucha1
1Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Patient education and counseling
|March 8, 2024
概括
具有较高的不确定性容忍度 (UT) 的医生年龄较大,经验更丰富. 虽然这种耐受性与对共享决策 (SDM) 的信心相关,但它不会影响患者报告的SDM结果.
科学领域:
- 医学教育 医学教育
- 临床实践 临床实践
- 健康心理学 心理健康心理学
背景情况:
- 医生的不确定性耐受性 (UT) 对于有效的临床护理至关重要.
- 共享决策 (SDM) 是以患者为中心的护理的关键组成部分.
- 了解影响医生UT的因素及其对SDM的影响至关重要.
研究的目的:
- 调查医生对不确定性容忍度 (UT) 和他们的个人特征之间的关系.
- 检查医生UT如何与他们对共享决策 (SDM) 的看法和实践有关.
主要方法:
- 初级保健医生 (n=67) 完成了UT和SDM自我有效性的测量.
- 在临床访问后,患者 (N=466) 报告了SDM.
- 使用回归分析来评估变量之间的关系.
主要成果:
- 更高的医生UT与年龄和实践年龄的增加有关.
- 医生UT与SDM自我有效性正相关.
- 医生UT和患者报告的SDM之间没有发现任何关联.
结论:
- 医生的年龄和经验是UT的预测因素,这表明通过培训有改善的潜力.
- 虽然UT与医生对SDM的信心有关,但其对患者报告的SDM的影响需要进一步调查.
- 加强医生UT的培训干预可能是促进SDM的可行策略.
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