与接受可选诊断相关的因素
Cortney Matthews1, David Ring, Teun Teunis
1Author Affiliations: Department of Surgery and Perioperative Care, Dell Medical School - The University of Texas at Austin, Austin, Texas (Mr Matthews and Drs Ring and Ramtin); and Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania (Dr Teunis).
Quality management in health care
|October 28, 2024
概括
焦虑和怀疑医疗保健的患者更有可能接受可选诊断. 临床医生应谨慎沟通,以避免影响患者对可选医疗诊断的决定.
科学领域:
- 医疗决策的制定能力
- 患者心理学 患者心理学
- 医疗保健的沟通 医疗保健的沟通
背景情况:
- 当身体的感觉与潜在的疾病相关时,就会成为症状.
- 将良性感觉标记为病理生理学有影响.
- 了解影响诊断接受的因素至关重要.
研究的目的:
- 调查与接受可选诊断相关的患者和临床医生的因素.
- 探索对诊断接受的心理和系统影响.
主要方法:
- 在亚马逊机械土耳其 (Amazon Mechanical Turk) 上对536名参与者的调查.
- 对焦虑,抑郁,不确定性不容忍和医疗保健怀疑的验证措施.
- 用多级线性回归分析在虚构的医疗场景中接受可选诊断的意愿分析.
主要成果:
- 增加的焦虑症状和对医疗保健的怀疑与对可选诊断的接受度更高有关.
- 沟通风格,比如低其他医生或充满希望的前景,显著影响了接受.
- 接受可能性与痛苦和对医学证据的不信任有关.
结论:
- 愿意接受可选诊断可能表明患者的脆弱性.
- 临床医生应该注意有说服力的沟通风格.
- 当向患者提出可选诊断时,谨慎的沟通至关重要.
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