识别医生考虑的心理社会和上下文标记,以个性化护理
Paul Domenach1,2, Karolin R Krause1, Alexandre Malmartel1,3
1Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAe, Centre for Research in Epidemiology and Statistics (CRESS), Paris, 75004, France.
BMC medicine
|September 28, 2024
概括
医生利用各种各样的患者心理社会因素和生活环境来个性化医疗护理. 需要进一步的研究来将这些标记物整合到基于证据的个性化干预中,以获得更好的治疗结果.
科学领域:
- 医学教育 医学教育
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 医生考虑各种患者因素超出临床数据量身定制医疗治疗.
- 个性化护理旨在使医疗干预与个体患者的需求和情况保持一致.
研究的目的:
- 确定全科医生和专家在个性化患者护理时使用的心理社会和上下文标记.
- 了解影响医生决定量身定制医疗治疗的各种因素.
主要方法:
- 一个带有开放式问题的在线问卷分发给法国的医生.
- 数据分析涉及报告的临床情况的手动和人工智能辅助内容分析 (GPT3.5-Turbo).
- 使用数学模型来确保数据和和全面的标记物识别.
主要成果:
- 290名医生报告了317个临床情况,其中护理是个性化的.
- 确定了40个标记:27个心理社会 (例如,患者的能力,信仰) 和13个上下文 (例如,支持网络,环境).
- 数据和模型表明,至少97%的潜在标记物已被确定,手动和人工智能分析之间具有很高的一致性.
结论:
- 医生利用各种各样的心理社会和上下文标记来个性化患者护理.
- 评估这些标志物对治疗参与度和有效性的影响至关重要.
- 将这些标记物整合到基于证据的个性化干预中需要进一步的临床研究.
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