选项列表如何影响骨科咨询中的决策:对话分析研究
A C Anouk Van der Hout1, Mike Huiskes2, Taco Gosens3
1Department of Medical and Clinical Psychology, Tilburg University, Tilburg, the Netherlands; Center of Research on Psychological disorders and Somatic diseases (CoRPS), Tilburg University, the Netherlands.
Patient education and counseling
|September 27, 2024
概括
整形外科医生使用选项列表来帮助关节骨关节炎护理的共享决策 (SDM). 这种技术按层次呈现治疗选择,允许患者表达偏好,同时承认外科医生的专业意见.
科学领域:
- 整形外科 整形外科 整形外科
- 医学沟通 医学沟通
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 对于以患者为中心的骨科护理至关重要.
- 选项列表是一种沟通技术,可以促进SDM.
研究的目的:
- 检查骨科外科医生在使用选项列表时采用的特定实践.
- 了解这些做法如何影响关节骨关节炎和膝关节骨关节炎咨询的共同决策.
主要方法:
- 35次骨科咨询的对话分析.
- 专注于关节骨关节炎的新转诊患者和他们的骨科医生之间的相互作用.
主要成果:
- 整形外科医生使用两个原则来列出选择:固定,缩放的治疗顺序和呈现选择的关系.
- 这种结构使外科医生能够传达专业的判断,患者可以共同构建名单,有时通过屈从于外科医生的立场.
结论:
- 选项列表可以通过使患者有选择来增强SDM,但它可能会使患者对外科医生表达的意见作出反应.
- 患者可以利用缩放的选择表现来表达自己的治疗偏好.
- 了解这些交互动态可以优化选项列表的使用,以改善SDM.
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