医生在体育资格决策的共享决策方面采取异质的方法
Sarah C Montembeau1, Jonathan H Kim1, Christine M Baugh2,3
1Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA, USA.
概括
运动心脏病学家广泛接受心脏病运动员的共享决策 (SDM),但定义和实践有很大差异. 了解这些不同的方法对于优化体育心脏病学中SDM至关重要.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 医学伦理 医学伦理
背景情况:
- 关于临床医生如何在被诊断患有心血管疾病的运动员中实施共享决策 (SDM) 的数据有限.
- 这项研究通过探索体育心脏病学家对SDM的观点及其关于体育资格的决策过程来解决这一差距.
研究的目的:
- 调查体育心脏病学家对共享决策 (SDM) 的概念化.
- 检查体育心脏病学家如何在确定心血管诊断的运动员体育资格的背景下运行SDM.
主要方法:
- 对20名运动心脏病专家的采访进行了定性描述性分析.
- 采访是在2022年10月至2023年5月期间通过电话或视频会议进行的.
主要成果:
- 所有接受采访的心脏病专家都支持SDM的体育资格决定.
- 在参与者之间 SDM 的定义和运行方面观察到显著的异质性.
- 在医生角色,风险感知和风险耐受度值方面存在变化,突然心脏死亡风险高达<1%至>10%.
结论:
- 共享决策 (SDM) 在体育心脏病学中通常被接受,用于资格决定.
- 需要进一步的研究,以更好地了解SDM过程,并确定最佳的操作策略.
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