临床医生对使用决策工具来支持基于预测的共享决策对肺癌查的看法
Sarah E Skurla1, N Joseph Leishman2, Angela Fagerlin3,4
1Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor, MI, USA.
MDM policy & practice
|May 23, 2024
概括
临床医生在肺癌查 (LCS) 中发现共享决策 (SDM) 的预测工具具有吸引力,但面临着将其整合到实践中的挑战. 建议制定战略,支持采用这些工具,以实现个性化患者护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床决策 临床决策
- 医疗信息学 医疗信息学
背景情况:
- 个性化共享决策 (SDM) 可以通过整合患者的完整风险因素概况来增强.
- 与预测模型相遇的工具为个性化SDM提供了一条途径,但临床医生的可行性认知尚未得到充分探索.
研究的目的:
- 检查初级保健临床医生对使用针对肺癌查 (LCS) 的个性化SDM遭遇工具的反应.
- 确定临床医生对将基于预测的SDM工具集成到常规实践中的可行性和挑战的看法.
主要方法:
- 这是一项定性研究,涉及来自多个退伍军人事务网站的96名初级保健临床医生的学术详细访问的现场笔记.
- 专题内容分析被用来对临床医生的反进行分类,以了解LCS讨论中DecisionPrecision (DP) 遭遇工具的合理性和使用情况.
主要成果:
- 确定了六个类别的临床医生愿意使用DP工具,从"热情的潜在采用者"到"确定的非采用者".
- 虽然52名临床医生发现基于预测的SDM具有吸引力,但几乎所有人都确定了实施的实际挑战.
结论:
- 许多临床医生认识到预测对于个性化LCS决策的价值.
- 需要进一步的支持和战略来克服障碍,并促进在临床实践中采用基于预测的SDM遭遇工具.
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