一般医生对患有持续非特异性症状的儿童的诊断测试的看法:一种定性研究
Lianne Jw Mulder1, Sophie M Ansems1, Marjolein Y Berger1
1Department of Primary and Long-term Care, University Medical Center Groningen, University of Groningen, the Netherlands.
概括
一般医生 (GPs) 在决定对患有持续非特异性症状 (PNS) 的儿童进行诊断测试时,考虑了诊断之外的因素. 他们的决定受到医疗,心理社会和资源考虑的影响,与成人患者护理不同.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 一般的做法一般的做法.
- 诊断性决策过程中的使用.
背景情况:
- 诊断测试是常见的儿童持久的非特异性症状 (PNS).
- 测试不足和测试过多都有负面后果.
- 医生对PNS儿童测试的看法没有得到充分的研究.
研究的目的:
- 探索全科医生 (GPs) 关于PNS儿童诊断测试决策的看法.
- 将这些观点与全科医生对成年人测试的动机进行比较.
主要方法:
- 使用与荷兰全科医生的半结构面试进行的定性研究.
- 对转录的采访进行主题内容分析,探索现实生活中的案例.
- 有目的的抽样,直到数据和.
主要成果:
- 共有12名全科医生参与了这项研究,揭示了医疗,心理社会,咨询管理和资源利用因素对决策的影响.
- 一般医生更犹不决地测试儿童,因为脆弱性,较低的有机疾病的概率,和减少的自主权.
- 测试的动机超出了诊断的不确定性,类似于成人护理.
结论:
- 在患有PNS的儿童中,全科医生的诊断测试决定是复杂的和多因素的.
- 干预措施和指导方针应应对这些更广泛的影响因素.
- 了解这些观点可以为优化测试实践的策略提供信息.
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