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医疗人员对医疗决策中的群体偏见的看法:一种定性研究
Justin J Choi1, Nada Mhaimeed2,3, Dabia Al-Mohanadi2,4
1Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
BMC medical education
|June 14, 2024
概括
医疗住院人员由于层次结构和时间压力而经历了受损的群体决策. 了解这些群体偏见是改善患者护理和医疗培训的关键.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 决策科学 决策科学 决策科学
背景情况:
- 集体决策中的系统性偏见可能导致不理想的患者护理.
- 障碍群体决策对医学培训的影响尚不清楚.
- 这项研究探讨了居民对群体决策和患者护理方面的偏见的观点.
研究的目的:
- 探索医疗住院人员对受损群体决策的经验.
- 调查特定群体偏见 (群体思维,社会怠惰,承诺升级) 在医疗决策中的作用.
- 了解群体动态如何影响医疗培训和患者护理.
主要方法:
- 使用主题分析进行定性方法.
- 半结构面试与16名内科住院医生进行了半结构面试.
- 探索与非最佳群体决策和特定群体偏见的经验.
主要成果:
- 五个主要主题出现了:等级,压力,呼叫后的挑战,团队协作互动和个人/文化影响.
- 居民承认集体思维,但发现社会散和承诺的升级不那么重要.
- 团队层次结构对居民参与集团决策产生了重大影响.
结论:
- 团队层次是影响居民参与集团决策的一个主要因素.
- 时间限制,感知压力和通话后的疲劳是最佳决策的重要障碍.
- 结果为改善医疗团队决策,患者护理和培训质量提供了见解.
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