卫生专业人员是否知道查中的过度诊断,他们如何应对? 一个混合方法的系统范围审查审查
Veerle Piessens1, Ann Van den Bruel2, An Piessens3
1Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Centre for Family Medicine, Ghent University, Ghent, Belgium.
PloS one
|February 3, 2025
概括
医疗保健专业人员 医疗保健专业人员
科学领域:
- 医学查 医学查
- 医疗服务研究 医疗服务研究
- 患者决策的参与
背景情况:
- 医学查是过度诊断的一个关键因素,影响了知情的查决策.
- 卫生专业人员 (HP) 在向患者提供查益处和危害的信息方面至关重要.
- 了解HP对过度诊断的知识对于知情同意至关重要.
研究的目的:
- 系统地审查HPs对过度诊断的知识和看法.
- 评估HP对提供查和告知候选人过度诊断的观点.
- 确定对患者信息和知情决策的影响.
主要方法:
- 对HPs对过度诊断的知识和感知的研究进行系统审查.
- 在多个数据库 (MEDLINE,Embase,科学网,Scopus,CINAHL,PsycArticles) 进行的搜索.
- 质量和数量数据分别分析;使用GRADE-CERQual评估的信心.
主要成果:
- 没有研究直接评估了HPs对过度诊断的知识.
- 医生对过度诊断的看法有很大的不同,从严重的伤害到微不足道的伤害.
- 在通知患者方面存在不同的方法,从详细信息到没有信息.
结论:
- 缺乏关于HPs对过度诊断的知识的研究.
- 医生对过度诊断危害的理解有所不同,这影响了查建议.
- 不一致的信息提供影响了基于证据的患者选择和知情的查决策.
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