临床决策支持系统对医疗保健专业人员和患者之间的关系,沟通和共同决策的影响:多利益相关者采访研究
Florian Funer1,2, Diana Schneider3, Nils B Heyen3
1Institute for Ethics and History of Medicine, Eberhard Karls University Tuebingen, Tuebingen, Germany.
Journal of medical Internet research
|August 23, 2024
概括
临床决策支持系统 (CDSS) 的整合影响了医疗保健专业人员和患者之间的动态,可能改变角色和沟通. 对CDSS使用的患者教育对于管理期望和关系变化至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 医学社会学 医学社会学
- 患者与医疗服务提供者之间的沟通
背景情况:
- 临床决策支持系统 (CDSS) 在医疗保健中越来越多地被采用.
- 医疗保健专业人员对医疗保健专业人员和患者关系的影响仍然未得到充分探索.
- 关于CDSS使用的患者信息和同意是正在进行的辩论的主题.
研究的目的:
- 实证地研究CDSS实施对医疗保健专业人员与患者关系的影响.
- 为了强调这种关系在CDSS利用的背景下的重要性.
- 为了告知未来的医疗保健专业人员和患者关于潜在的CDSS影响.
主要方法:
- 方法三角测量结合了与医学学生和实习护士的半结构面试,以及与患者的重点小组.
- 面试和焦点小组成绩单的定性内容分析.
- 刺激材料包括三种不同的CDSS实例 (手术,科,集中家庭护理).
主要成果:
- 确定了三个关键的交互主题:CDSS对专业角色的影响,CDSS对患者与医疗服务提供者的关系和共同决策的影响,以及利益相关者对患者教育的期望.
- 使用CDSS可能会重组患者与医疗服务提供者关系中的权力动态和决策.
- 预计与CDSS实施相关的沟通和时间承诺增加.
结论:
- CDSSs的整合,而不是它们的功能,主要是塑造它们对患者提供者关系的影响.
- 在患者信息中解决预期的关系影响对于有效实施CDSS至关重要.
- CDSS需要仔细考虑沟通要求和医疗保健现有动态的潜在转变.
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