关于患者决策辅助工具中的风险呈现的范围审查:在成像中传达风险
Trey A Baird1, Melissa Previtera1, Samuel Brady2
1College of Medicine, University of Cincinnati, Cincinnati, Ohio.
Journal of the American College of Radiology : JACR
|October 19, 2024
概括
向患者传达医学成像风险缺乏一致性. 患者的决策辅助工具在风险呈现方式上有所不同,可能会影响健康素养和决策.
科学领域:
- 放射学和成像学 放射学和成像学
- 卫生沟通健康沟通
- 医疗决策的制定 医疗决策的制定
背景情况:
- 医疗信息的有效沟通对于患者的理解至关重要.
- 然而,在医学成像中沟通风险的具体最佳实践不太强调.
- 患者决策辅助工具是旨在帮助患者做出明智选择的工具.
研究的目的:
- 对医疗成像中使用的患者决策辅助器进行范围审查.
- 描述用于对患者呈现成像相关风险的方法.
主要方法:
- 在Embase,MEDLINE,CINAHL和PsychINFO数据库中进行了全面的搜索.
- 包括涉及患者决策辅助器用于诊断成像的研究,这些风险被传达.
- 提取的数据包括风险的数量和类型,以及它们的呈现和概率沟通方法.
主要成果:
- 该审查包括46篇文章,详细介绍了27种不同的患者决策辅助工具,乳房影像和肺癌查是最常见的应用.
- 所有的决策辅助工具都存在成像风险,每种辅助工具的风险从两种到九种.
- 文本是沟通风险的主要格式 (65%),虚假阳性风险更常见的视觉格式和辐射风险的文本格式.
结论:
- 在医疗成像决策辅助工具中,风险如何传达给患者存在重大不一致.
- 风险内容和呈现方法的变化可能会阻碍知情决策,特别是对于健康素养或数学能力较低的人来说.
- 没有观察到持续使用视觉辅助工具,如图标数组.
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