家庭医学医生对共同决策的看法:一项混合方法研究
Amrita Sandhu1, Roland Grad2, Ilhem Bousbiat1
1Department of Family Medicine, McGill University, Montréal, Canada; Mila-Quebec AI Institute, Montreal, Canada.
Patient education and counseling
|July 17, 2024
概括
家庭医学医生在低风险的临床情况下更愿意共享决策. 然而,居民对局势风险的看法各不相同,这影响了他们参与共享决策.
科学领域:
- 医学教育 医学教育
- 临床决策 - 临床决策
- 医疗保健专业 研究 研究 研究
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要.
- 了解临床医生愿意参与SDM对于有效实施至关重要.
- 居民对SDM的看法,特别是对感知风险的看法,尚未完全理解.
研究的目的:
- 评估家庭医生住院人员参与共享决策的意愿.
- 调查临床情况的感知风险是否会影响居民参与SDM的意愿.
主要方法:
- 采用了一种连续的混合方法设计.
- 第一阶段涉及居民完成IncorpoRATE测量,以量化对SDM的意愿.
- 第二阶段包括对访谈的定性内容分析,探索居民对高与低风险情况的看法.
主要成果:
- 居民报告说,在低风险情况下 (平均得分7.59) 与高风险情况下 (平均得分4.38) 相比,SDM的意愿明显更高.
- 定性分析显示,住院人员对与类似临床决策相关的风险的解释存在差异.
- 感知利益对居民参与共享决策产生了重大影响.
结论:
- 当临床情况被认为是高风险时,家庭医学医生表现出参与共享决策的意愿降低.
- 住户对临床情况的主观解释可能会影响共享决策的应用.
- 需要进一步的研究来探索居民对共享决策的理解和适当的应用在家庭医学环境中.
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