让患者参与讨论关于降低药物的处方
Jacquelyn Pendergast1, Jolie B Wormwood2,3, Kelly Stolzmann2
1Center for Health Optimization and Implementation Research, VA Boston Healthcare System and VA Bedford Healthcare System, Boston and Bedford, MA, USA. Jacquelyn.Pendergast@va.gov.
Journal of general internal medicine
|January 29, 2025
概括
面向患者的教育小册子增加了与初级保健提供者 (PCP) 进行抑郁症诊断的讨论. 使用小册子和先前的PCP联系,可以大大促进这些对话,促进共享决策.
科学领域:
- 老年学是一门学科.
- 卫生识字 卫生识字
- 患者参与 患者参与
背景情况:
- 降低处方,即故意减少或停止服用药物,旨在尽量减少不当使用和与药物相关的伤害.
- 患者参与抑郁症谈话可以提高药物改变的可能性,并支持共享决策.
研究的目的:
- 评估以患者为中心的教育材料对患者参与和启动与初级保健提供者 (PCP) 进行抑郁症讨论的影响.
主要方法:
- 一项研究涉及在PCP预约前两周向患者发送药物特定的小册子.
- 预约后发送了调查,以评估患者报告的抑郁症讨论和小册子参与度.
- 多变量逻辑回归分析了与抑郁描述讨论相关的因素.
主要成果:
- 患者的特点,如高等教育和足够的健康素养,与增加的抑郁症讨论有关.
- 积极参与小册子活动,预约PCP联系,以及与他人讨论小册子,也大大增加了讨论的可能性.
- 相反,与白人患者相比,黑人患者不太可能报告有关抑郁症的讨论.
结论:
- 患者与教育材料的接触和个体特征显著影响抑郁症的讨论.
- 以患者为中心的小册子可以赋予患者权力,将他们的观点整合到抑郁症决定中.
- 未来的研究应该集中在实施策略上,以改善抑郁症的覆盖范围,特别是对于健康素养较低的患者.
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