共享决策对疼痛结果的因果关系:性别问题
Timothy T Brown1, Jadyn Lee1, Sione Markarian1
1University of California, 2121 Berkeley Way #5439, Berkeley, CA, 94720, USA.
Social science & medicine (1982)
|July 19, 2024
概括
共享决策 (SDM) 显著减少了女性和男性日常活动中的慢性疼痛干扰. 女性经历了更大的慢性疼痛的减少与改善的SDM质量.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 疼痛管理 疼痛管理
- 健康结果的健康结果.
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SDM对疼痛结果的因果影响对于改善患者福祉至关重要.
- 以前的研究还没有完全阐明SDM在人口群体之间的差异性影响.
研究的目的:
- 确定SDM对美国整体,急性和慢性疼痛结果的因果影响.
- 为了检查性别,种族-民族和临床医生-患者一致性是否能缓和SDM对疼痛的影响.
- 为提高SDM质量和患者教育提供政策影响.
主要方法:
- 利用来自2003-2017医疗支出小组调查的美国国家数据.
- 采用了一种标准衡量共享决策质量的标准.
- 应用了内部有效的两阶段最小方程方法,使用同行SDM行为作为一个工具.
主要成果:
- 在SDM质量上增加了10个百分点,导致慢性疼痛干扰的显著减少.
- 与男性 (-16.5%) 相比,女性的慢性疼痛干扰 (-24.8%) 的减少更大.
- 全国增加SDM可以防止数百万个人经历日常活动干扰的慢性疼痛.
结论:
- 在减少慢性疼痛干扰方面,SDM具有显著的因果影响,女性的效果更为明显.
- 政策努力应集中在改善所有患者的SDM质量和针对男性患者的有针对性的教育上.
- 这些发现强调了SDM在治疗慢性疼痛和减少健康差异方面的重要性.
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