医疗保健专业人员对初级保健中共享决策实施的看法:来自虚拟实践社区的定性研究
Alezandra Torres-Castaño1,2,3,4, Lilisbeth Perestelo-Pérez2,3,4, Débora Koatz3,5,6
1Canary Islands Health Research Institute Foundation, Tenerife, Spain.
International journal of integrated care
|April 19, 2024
概括
共享决策 (SDM) 赋予患者权力,但医疗保健专业人员面临实施挑战. 建议进行有针对性的培训,以改善SDM采用和患者护理结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者赋权是患者赋权的一种方式.
- 改善临床实践的改善
背景情况:
- 共享决策 (SDM) 对于患者赋权和医疗保健控制至关重要.
- 尽管有好处,但医疗保健专业人员在实施SDM方面遇到障碍.
- 内部和外部因素阻碍了SDM在卫生系统中的整合.
研究的目的:
- 调查初级保健专业人员 (PCP) 对SDM模型的看法.
- 了解PCP对SDM的偏见和临床经验.
- 确定影响SDM在初级保健中的实施因素.
主要方法:
- 来自虚拟社区实践论坛的数据的定性框架分析.
- 在e-MPODERA项目的集群随机临床试验中收集的数据.
- 根据他们的实践,探索PCP对SDM的看法.
主要成果:
- 关键的PCP见解包括探索患者的价值观/偏好,并提供基于证据的信息.
- 三个主题出现了:SDM实施的决定因素,不一致性/困境,以及积极倾听的好处.
- 合作伙伴强调了他们对SDM的积极期望和积极动机的重要性.
结论:
- 在SDM的理论理解和实际应用之间存在差异.
- 潜在的缺乏理解或承诺可能会阻碍有效的SDM实施.
- 针对知识,态度和实践的有针对性的培训可以解决已识别的发现.
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