提供者对电子健康记录的看法 前列腺癌查工具
Sigrid V Carlsson1,2,3,4, Mark Preston5, Andrew Vickers2
1Urology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, United States.
Applied clinical informatics
|April 10, 2024
概括
初级保健医生 (PCP) 希望有一个用于前列腺特异性抗原 (PSA) 查的决策支持工具. 该工具旨在帮助共享决策和解决指南混,改进PSA查实践.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 主要护理医学 医疗保健
- 医疗信息学 医疗信息学
背景情况:
- 前列腺特异性抗原 (PSA) 查指南各不相同,导致医生感到困惑.
- 在PSA查中,共享决策 (SDM) 可能被初级保健医生 (PCP) 视为负担.
研究的目的:
- 评估PCP对PSA选算法和决策支持工具的态度.
- 确定在临床实践中可行实施决策支持工具的特征.
主要方法:
- 一个由10名PCP组成的焦点小组讨论了一种开发的决策支持工具.
- 专题内容分析被用来分析焦点小组的笔记和成绩单.
- 对PCP进行了一项关于PSA查实践和工具感知的调查.
主要成果:
- 大多数PCP (7/10) 发现PSA查的SDM是繁的,并且没有使用决策辅助工具.
- 尽管有信心 (70%),90%的PCP希望提供者面向的平台进行PSA查讨论.
- 关键主题包括需要嵌入EHR的工具,工作流集成,管理临床偏见和解决指导方针差异.
结论:
- PCP强烈支持需要提供者面向的PSA查决策支持工具.
- 该工具的价值是支持临床判断和记录SDM.
- 焦点小组的反将为开发试点测试工具的第二版本提供信息.
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