在医疗保健服务中支持共享决策的设计方法的实施:系统性审查
Yeray Sañudo1, Canan Akoglu2, Judith A C Rietjens3
1Aragon Institute for Engineering Research (i3a), Department of Engineering Design and Manufacturing, University of Zaragoza, Zaragoza, Spain; Water and Environmental Health-IUCA Research Group, University of Zaragoza, Zaragoza, Spain.
Patient education and counseling
|November 22, 2024
概括
设计方法有助于在医疗保健中实现共享决策 (SDM). 服务设计和共同创作方法可以改善以患者为中心的解决方案和专业工作流程,以更好地整合SDM.
科学领域:
- 医疗保健设计 医疗保健设计
- 医疗保健服务研究 医疗服务研究
- 患者参与 患者参与
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要.
- 有效实施SDM需要强大的方法.
- 现有的SDM整合方法面临挑战.
研究的目的:
- 系统地审查支持SDM的设计方法.
- 确定未来SDM实施的最佳方法.
- 探索设计在SDM中的挑战和影响.
主要方法:
- 在主要数据库 (Medline, Web of Science, Scopus) 和灰色文学中进行系统的文献搜索.
- 遵守PRISMA指导方针进行研究选择.
- 从美国和欧洲 (2015年起) 分析了22项选定的研究 (35篇出版物).
主要成果:
- 以用户为中心的设计是占主导地位的方法,医疗专业人员比患者更参与其中.
- 常常引用的是国际患者决策辅助标准 (IPDAS).
- 评估表明改善了患者体验和SDM作用,并可能增加医疗保健专业人员的工作量.
结论:
- 在SDM中使用设计方法,但需要增强以实现最佳实施.
- 服务设计提供了一种全面的方法来分析SDM过程.
- 共创方法可以产生以患者为中心的解决方案,可以无地融入临床工作流程.
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