在抗凝血决定中考虑患者的偏好:主要是口唇服务?
Jack Dowie1,2, Mette Kjer Kaltoft2, Vije Kumar Rajput1,3
1London School of Hygiene and Tropical Medicine, London, UK.
Studies in health technology and informatics
|May 24, 2024
概括
对心房 (AF) 的临床指南可能没有充分纳入患者对治疗权衡的偏好. 他们经常无法确保患者获得必要的信息,以便他们能够明智地做出关于他们的护理的决定.
科学领域:
- 心脏病学 心脏病学
- 卫生政策 卫生政策
- 医学伦理 医学伦理
背景情况:
- 对心房 (AF) 管理的临床指南强调了患者偏好的重要性.
- 现有的指导方针可能无法完全将患者价值观纳入治疗决策.
研究的目的:
- 批判性地评估英国 (NICE),美国和欧洲指南如何在AF管理中纳入患者偏好.
- 评估指导方针是否充分支持患者对治疗权衡的知情决策.
主要方法:
- 来自NICE,美国心脏协会/美国心脏病学院和欧洲心脏病学会的临床指南的内容分析.
- 检查有关患者偏好和信息提供的指导方针建议.
主要成果:
- 尼斯 (NICE) 的指导方针引发了人们对将患者偏好纳入权衡和提供充分信息以获得知情同意的担忧.
- 准则可能会将患者的选择标记为"一致"或"不一致",破坏独立的有效性.
- 美国和欧洲的指导方针在患者偏好方面表现出类似的限制.
结论:
- 目前的AF临床指南需要改进,以真正嵌入患者的偏好和支持知情决策.
- 重新考虑患者一致性的框架,并确保全面的信息对于以患者为中心的AF护理至关重要.
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