参与术前共享决策途径的患者的经验和结果
Heidi C Omundsen1, Renee L Franklin1, Mark S Omundsen2
1Department of Anaesthesia, Te Whatu Ora/Health New Zealand, Hauora a Toi Bay of Plenty, Tauranga, New Zealand.
Anaesthesia and intensive care
|November 14, 2024
概括
复杂决策途径 (CDP) 改善了老年,脆弱患者的共享决策. 这种具有成本效益的途径有助于手术风险分层,并提高了患者的体验.
科学领域:
- 老年医学 老年医学
- 外科手术决策的制定能力
- 医疗保健服务研究 医疗服务研究
背景情况:
- 复杂决策路径 (CDP) 是新西兰实施的一种新型共享决策模式.
- 它独特地整合了结构化的沟通工具和一个Māori tikanga框架,以加强以患者为中心的护理.
研究的目的:
- 评估使用CDP的患者的人口统计,健康状况和经验.
- 评估CDP干预措施的12个月成果和成本效益.
主要方法:
- 一项前性研究,涉及从2019年5月到2022年5月参加CDP诊所的81名患者.
- 数据收集包括患者的人口统计,健康状况,经验和12个月的结果.
- 使用了定性数据和经济分析.
主要成果:
- 参与者主要是老年人和有多种并发症的脆弱人群.
- 超过一半的患者选择了手术;非手术患者年龄较大,并发症较多,结果更差.
- 定性反表明了积极的患者体验.
结论:
- 在CDP有效地风险分层患者进行手术与非手术管理.
- 该途径提供了积极的患者体验,并证明了成本效益.
- CDP是术前共享决策的宝贵工具,特别适用于弱势群体.
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