实施联合设计策略,开发一个仪表板,支持在晚期癌症和慢性病中共同决策
Victoria Morken1, Laura M Perry1,2, Ava Coughlin1
1Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 625 N Michigan Ave., Suite 2100, Chicago, IL 60611, USA.
Journal of clinical medicine
|July 27, 2024
概括
共同设计成功开发了以患者为中心的临床仪表板,用于在晚期癌症和慢性病 (CKD) 护理中共享决策 (SDM). 这种协作方法提高了患者参与度,改善了医疗保健创新交付.
科学领域:
- 医疗保健创新 医疗保健创新
- 以患者为中心的护理
- 医疗信息学 医疗信息学
背景情况:
- 共享决策 (SDM) 对于医疗保健中的患者-临床医生合作至关重要.
- 临床仪表板可以通过有效地呈现患者报告的结果 (PRO) 来增强SDM.
- 开发以患者为中心的工具需要包容性的设计流程.
研究的目的:
- 描述一个共同设计过程的实施,以开发一个PRO-informed的临床仪表板.
- 支持晚期癌症或慢性病 (CKD) 患者的SDM.
- 评估共同设计实施的战略和结果.
主要方法:
- 包括患者和临床医生在内的多学科团队通过14个代会议共同设计了仪表板.
- 两个不同的团队专注于晚期癌症 (N=25) 和CKD (N=24).
- 使用忠实性,可接受性,采用性,可行性和有效性指标来评估实施情况.
主要成果:
- 在共同设计过程的忠实性 (M=19.1/21),采用性 (M=19.1/21) 和可接受性 (M=10.4/12) 方面获得了高分.
- 保持了利益相关者的高代表性:95%的癌症和85%的CKD会议.
- 100%的受访者认为该过程有效地实现了仪表板目标.
结论:
- 一个共同设计过程有效地开发了SDM临床仪表板,用于晚期癌症和CKD.
- 从这个过程中获得的关键策略和经验可以指导未来以患者为中心的医疗保健创新.
- 这种方法可以帮助开发和采用创新的医疗保健解决方案.
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