支持沟通和共享决策的视觉决策辅助工具:它们在实践中是如何评价和使用的?
Janneke Noordman1, Désanne Noordam1,2, Jorien van Treeck3
1Nivel (Netherlands Institute for Health Services Research), Utrecht, The Netherlands.
PloS one
|December 3, 2024
概括
视觉决策辅助器可增强患者与医疗服务提供者之间的沟通和共享决策,特别有利于健康素养有限的患者. 虽然概述页面是最常用的,但讨论个别治疗方案对于有效实施至关重要.
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
- 患者沟通 患者沟通
背景情况:
- 视觉决策辅助器 (VDA) 是临床实践中的新兴工具.
- 它们在现实环境中对沟通和共享决策 (SDM) 的影响尚不清楚.
- 患者和医疗保健提供者 (HCP) 对VDA的看法,尤其是在不同的健康素养水平上,需要进行调查.
研究的目的:
- 探索VDA在临床实践中的利用和感知价值.
- 评估不同健康素养水平的患者及其医疗人员如何与VDA互动.
- 在共享决策中确定影响VDA采用和有效性的因素.
主要方法:
- 分析了35次视频记录的门诊咨询.
- 与9名医疗保健提供者进行反思实践采访.
- 对29名患者进行了采访,以评估VDA的使用和感知.
- 使用OPTION工具对SDM和VDA特定项目进行编码咨询.
主要成果:
- 患者和医疗人员都重视VDA,特别是治疗选择概述页.
- 医疗保健人员主要使用概述页面;科提供者比骨关节炎提供者更多地讨论了个别治疗页面.
- 许多医疗保健工作者对VDA用户指南不熟悉,VDA的实施在临床环境中各不相同.
结论:
- 对于在脏病和骨关节炎护理方面的健康素养有限的患者来说,VDA似乎是有益的.
- 虽然概述页面是有价值的,但讨论个别治疗的利弊对于全面的SDM至关重要.
- 成功实施VDA需要解决医疗保健工作者对用户指南的熟悉问题,并根据特定的临床环境量身定制方法.
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