整合基于证据的医学培训和共享决策:初级医生和顾问的定性研究
Mary Simons1,2, Georgia Fisher3, Samantha Spanos3
1Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, 2109, Australia. mary.simons@mq.edu.au.
BMC medical education
|April 18, 2024
概括
基于证据的医学 (EBM) 和共享决策 (SDM) 的综合培训改善了初级医生的态度和实践. 障碍包括层次和时间,而支持性环境和顾问则促进了学习.
科学领域:
- 医学教育 医学教育
- 健康 专业 教育 卫生 专业 教育
- 改善临床实践的改善
背景情况:
- 基于证据的医学 (EBM) 和共享决策 (SDM) 是至关重要的,但经常被分开教授.
- 医疗保健专业人员日益需要整合EBM和SDM (EBM-SDM) 培训.
- 关于EBM-SDM综合培训对初级医生的影响的研究有限.
研究的目的:
- 探索EBM-SDM综合培训对初级医生的态度和实践的影响.
- 识别初级医生EBM-SDM学习和实践的障碍和促进者.
- 检查顾问态度和权威对初级医生的EBM-SDM机会的影响.
主要方法:
- 一项定性研究涉及EBM-SDM课程,用于私人医疗机构的初级医生.
- 在课程之前和之后,与12名初级医生进行了半结构面试.
- 与10名监督顾问进行后续访谈,以了解他们的影响力.
主要成果:
- 初级医生重视患者参与的培训,旨在增强以人为中心的决策能力.
- 发现的障碍包括医疗层次结构,时间限制和缺乏先前培训.
- 促进者包括受保护的学习时间,支持性顾问和私人医疗保健机构.
结论:
- 综合EBM-SDM培训对初级医生是有益的.
- 未来的医学教育应该纳入EBM-SDM,承认实施的复杂性.
- 需要战略来克服障碍,并加强EBM-SDM在临床环境中的学习和实践.
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