根据证据审查,利益相关者的参与和实践评估,制定一个理解诊断和解的框架
Sandra Algarin Perneth1,2, Gilberto Perez Rodriguez Garcia3, Juan P Brito2
1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
这项研究开发了一个诊断和解的综合框架,概述了患者和临床医生之间的协作护理规划的关键组成部分,以改善诊断对话和以患者为中心的护理.
科学领域:
- 医疗保健提供 医疗保健提供
- 患者与临床医生的沟通
- 诊断过程 诊断过程
背景情况:
- 诊断和解,一个合作的患者和临床医生的过程,用于创建护理计划,缺乏明确的结构.
- 了解诊断和解的组成部分对于改善医疗保健至关重要.
研究的目的:
- 开发第一个全面的框架来阐明诊断和解过程.
- 识别和分类有效的诊断对话的基本元素.
主要方法:
- 采用了一种多步骤的代方法.
- 包括诊断对话的系统审查,临床访问记录的定量分析和广泛的利益相关者参与.
主要成果:
- 最初确定了17个潜在的组件.
- 开发了一个包含四个类别的最终框架:了解测试/推的需要,物流,信息和结果.
结论:
- 开发的框架为评估和增强诊断对话提供了基础.
- 临床医生可以通过共同创建使用该框架的护理计划来改善以患者为中心的诊断.
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