在临床实践指南中促进患者和医疗保健专业人员之间的共同决策:为指南开发人员开发和测试工具的项目协议
Lena Fischer1,2, Fülöp Scheibler3,4, Corinna Schaefer5
1Institute for Health Services and Health System Research, Faculty of Health Sciences Brandenburg, Brandenburg Medical School (Theodor Fontane), Rüdersdorf, Germany.
JMIR research protocols
|November 4, 2024
概括
该项目开发了一种工具,用于识别和优先考虑临床实践指南建议的共享决策 (SDM). 它还为患者决策辅助工具 (PDA) 创建了一个平台,以加强医疗保健中的SDM.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 患者参与 患者参与
背景情况:
- 临床实践指南 (CPG) 往往缺乏共享决策 (SDM) 整合,特别是对于偏好敏感的建议.
- 建议使用患者决策辅助工具 (PDA) 来加强CPG中的SDM,但缺乏系统的方法来整合它们.
研究的目的:
- 开发一个工具,系统地识别和优先考虑与SDM相关的CPG建议.
- 为PDAs创建一个平台,以支持在临床环境中实际实施SDM.
主要方法:
- 一个6项工作包项目,涉及范围审查,专家采访和修改后的Delphi研究.
- 开发和代改进一个优先级工具和一个PDA平台.
- 国际关注与德国医疗保健背景,涉及患者合作伙伴和咨询委员会.
主要成果:
- 项目经伦理委员会批准;国际咨询委员会和患者合作伙伴参与.
- 范围审查和文献评估正在进行中 (截至2024年2月20日).
- 预计该项目将于2026年12月31日完成.
结论:
- 开发的工具将使SDM能够系统地纳入CPG开发中.
- 该工具和PDA平台将链接CPG,SDM和PDA,促进SDM在临床实践中.
- 该倡议旨在通过基于指南的决策支持来改善患者与从业人员的互动.
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