使用电子风险评估工具进行癌症诊断的临床决策和风险评估:对GP经验的定性研究
Alex Burns1, Emily Fletcher2, Elizabeth Shephard2
1University of Exeter Medical School, University of Exeter, Exeter, UK ab1265@exeter.ac.uk.
BJGP open
|November 20, 2024
概括
电子风险评估工具 (eRAT) 有助于防止错过的癌症诊断,但可以增加咨询复杂性并挑战GP的自主权. 一般医生发现这些工具对保护有价值,但在沟通和决策方面发现了缺点.
科学领域:
- 主要的护理是初级保健.
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
背景情况:
- 电子风险评估工具 (eRAT) 旨在提高初级保健中早期癌症检测.
- 这些工具可能会影响临床判断和患者咨询经验.
研究的目的:
- 调查全科医生 (GPs) 与癌症 (ERICA) eRATs电子RIsk评估的经验.
- 了解eRAT如何影响全科医生的风险感知,诊断推理和患者沟通.
主要方法:
- 定性研究涉及与18名英语全科医生进行半结构面试.
- 用专题分析来解释一般医生对eRAT对咨询和沟通的影响的看法.
主要成果:
- 一般医生将eRAT视为对错误诊断的"额外装甲",尽管这带来了焦虑和复杂性.
- eRAT 被视为外部影响,可能会破坏医生在决策中的自主权.
- 一般医生对数值eRAT输出对患者沟通的有用性表示不确定.
结论:
- eRATs因其在癌症诊断防御中的作用而受到重视,但具有权衡.
- 使用eRAT会影响GP的沟通自由和决策过程.
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