患者参与的多学科瘤会议中断:视频交互分析
Barbara Schellenberger1, Christian Heuser1, Annika Diekmann2
1Chair of Health Services Research, Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany; Center for Health Communication and Health Services Research (CHSR), Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, Bonn, Germany; Center for Integrated Oncology (CIO), University Hospital Bonn, Bonn, Germany.
患者参与的多学科瘤会议 (MTCs) 经常受到中断. 减少这些工作流程中断是改善患者提供者沟通和护理质量的关键.
科学领域:
- 在瘤学瘤学.
- 医学沟通 医学沟通
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多学科瘤会议 (MTC) 对于癌症护理规划至关重要.
- 患者参与MTC正在增加,旨在加强共享决策.
- 了解MTC内部的沟通动态,特别是患者的存在,至关重要.
研究的目的:
- 在患者参与的MTC病例讨论期间识别中断.
- 记录患者和医疗保健专业人员 (HCP) 对这些中断的反应.
- 探索导致中断的因素及其对通信的影响.
主要方法:
- 进行了一项非干预混合方法研究 (PINTU).
- 分析了五个涉及患者的MTC病例讨论的视频录制.
- 使用定性顺序视频交互分析来识别中断和反应.
主要成果:
- 在与患者进行MTC病例讨论时,经常观察到中断.
- 工作组织和座位安排被确定为中断的常见原因.
- 一些中断只引起了患者的反应,表明潜在的未满足的信息需求.
结论:
- 在患者参与的MTC中,中断是经常发生的.
- 医疗保健工作人员应该更清楚地了解中断,因为这些可以表明未满足的患者信息需求.
- 减少中断可以增强医疗保健工作者与患者的互动,并提高癌症护理的质量.
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