探索骨折联络服务中关于骨质疏松症药物的共享决策的实践和观点:iFraP开发定性研究
Laurna Bullock1, Fay Manning2, Ashley Hawarden3,4
1Centre for Musculoskeletal Health Research, School of Medicine, Keele University, Staffordshire, UK. l.bullock@keele.ac.uk.
开发骨质疏松症干预措施需要解决临床医生的培训需求和共同决策 (SDM) 的实施障碍. 一个决策支持工具 (DST) 单独不足以改善患者和临床医生的有关骨健康药物的沟通.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
- 医疗决策的制定 医疗决策的制定
背景情况:
- 有效的共享决策 (SDM) 对于优化骨质疏松症治疗的坚持和结果至关重要.
- 目前关于骨健康和骨质疏松症药物的沟通策略对患者和临床医生来说都是一个挑战.
研究的目的:
- 通过探索与骨质疏松症药物SDM相关的当前实践,障碍和促进者,为iFraP (改善骨折预防治疗的普及) 干预措施的发展提供信息.
- 确定临床医生的培训需求,以提高骨质疏松症护理中的SDM.
主要方法:
- 定性研究涉及重点小组和采访8名患者,9名FLS临床医生和7名全科医生.
- 数据分析包括诱导编码和演映射到理论领域框架 (TDF),以确定实施障碍和促进者.
主要成果:
- 临床医生拥有专业知识,但在临床决策和风险沟通方面面临挑战.
- 患者在骨质疏松症药物方面的决策不确定性.
- 实施决策支持工具 (DST) 的障碍包括各种FLS配置和远程咨询.
结论:
- 一个独立的DST不太可能在不解决确定的临床医师培训需求的情况下促进持续的SDM.
- 这些发现将塑造iFraP的干预,以针对未满足的需求,并改善骨质疏松症药物的SDM.
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