沟通诊断不确定性降低了接受抗生素的期望:与假设患者的两项在线实验
Elisabeth D C Sievert1,2, Lars Korn1,2, Marina Gross3
1Health Communication, Institute for Planetary Health Behaviour, University of Erfurt, Erfurt, Germany.
沟通诊断不确定性和抗生素耐药性风险会降低患者对抗生素的期望. 将这与特定的治疗建议相结合,如延迟处方,可以防止损害医生患者关系.
科学领域:
- 医学沟通 医学沟通
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 过度处方抗生素有助于抗菌素耐药性.
- 诊断的不确定性和患者的期望影响了抗生素的处方.
研究的目的:
- 评估是否沟通诊断不确定性降低了对抗生素的期望.
- 识别沟通策略,尽量减少意外后果.
主要方法:
- 两项在线实验研究 (N=2213和N=527),使用耳部感染咨询小片.
- 参与者报告了对抗生素的期望,信任,医生的声誉以及对第二意见的意图.
- 第二项研究增加了具体的治疗建议.
主要成果:
- 透露过度使用抗生素的诊断不确定性和社会外部性降低了对抗生素的期望.
- 传达不确定性本身就损害了医生的信任和声誉.
- 将不确定性沟通与具体建议 (例如延迟处方) 结合起来,可以防止负面影响.
结论:
- 沟通诊断不确定性和抗生素耐药性风险可以降低患者对抗生素的期望.
- 具体的沟通策略对于减轻医生与患者关系的负面影响至关重要.
- 延迟抗生素处方是沟通不确定性的关键策略.
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