探索MAPPING应用程序,以促进医生和妇科癌症患者之间的风险沟通和共同决策
Mijra Koning1, Christianne Lok2,3, Dirk T Ubbink1
1Amsterdam UMC Locatie AMC, Amsterdam, Noord-Holland, The Netherlands.
BMJ open quality
|August 19, 2024
概括
妇科瘤学家 妇科瘤学家
科学领域:
- 在瘤学瘤学.
- 医学沟通 医学沟通
- 医疗信息学 医疗信息学
背景情况:
- 有效的风险沟通 (RC) 和共享决策 (SDM) 在妇科瘤学中至关重要.
- 目前的RC实践和工具需要评估,以改善以患者为中心的护理.
研究的目的:
- 评估妇科瘤学家当前的风险沟通水平.
- 评估MAPPING应用程序作为一种增强RC和SDM的工具.
主要方法:
- 观测性研究涉及录音患者与瘤学家对话 (n=29).
- 关于MAPPING应用程序的妇科瘤学家 (n=8) 的采访.
- 使用基于观察者的测量 (RCC,OPTION-5) 和患者报告的问卷 (CollaboRATE).
主要成果:
- 患者报告高SDM (CollaboRATE 9.19±1.79),但参与决策的比例很小 (OPTION-5 25.9%±13.4).
- 医生主要使用了定性风险术语,与患者对数值数据的偏好形成鲜明对比.
- 妇科瘤学家对MAPPING应用程序表现出积极的态度,但指出了可用性问题.
结论:
- 患者报告的SDM与实际参与妇科瘤治疗决策之间存在差距.
- 绘图应用程序显示了改进RC和SDM的潜力,但需要进行界面和功能增强.
- 改善风险沟通策略和工具对于以患者为中心的妇科癌症护理至关重要.
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