范围审查表明,在临床实践指南的背景下,开发和整合患者决策辅助工具的异质方法
Lena Fischer1, Leon Vincent Schewe2, Fülöp Scheibler3
1Faculty of Health Sciences Brandenburg, Institute for Health Services and Health System Research, Brandenburg Medical School (Theodor Fontane), Rüdersdorf, Germany; Center for Health Services Research, Brandenburg Medical School (Theodor Fontane), Rüdersdorf, Germany.
Journal of clinical epidemiology
|February 3, 2025
概括
本综述探讨了从临床实践指南 (CPG) 中创建患者决策辅助工具 (PDA) 的方法. 结果突出了不同的方法,强调需要经验测试来优化PDA开发和整合共享决策的必要性.
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
- 共享决策 - - 分享决策
背景情况:
- 患者决策辅助器 (PDA) 可以通过将患者偏好与临床证据相结合来改善医疗保健选择.
- 临床实践指南 (CPG) 提供基于证据的建议,但往往缺乏直接面向患者的工具.
- 制定与CPG一致的PDA对于有效的共享决策至关重要.
研究的目的:
- 根据临床实践指南 (CPG) 建议,系统地审查和分类开发和整合患者决策辅助工具 (PDA) 的方法.
- 确定影响PCG推PDA开发的选择因素.
- 探索PDA质量评估,用户测试和与CPG联系的方法.
主要方法:
- 使用主要的文献数据库 (PubMed,Embase) 和灰色文献进行了全面的范围审查,直到2023年12月.
- 包括2000年以后出版的文件,详细介绍了基于指南的PDA开发或CPG-PDA联系.
- 数据被提取并由两个独立的审稿人进行叙述性合成.
主要成果:
- 分析了24份文件,揭示了四个关键的方法论主题:CPG建议的选择,PDA开发/更新,质量评估/用户测试以及CPG-PDA联系.
- 患者偏好和权衡的不确定性是选择PDA建议的关键因素.
- 方法包括多学科开发,使用CPG证据,开发/更新的数字解决方案,代用户测试和链接的数字策略.
结论:
- 有不同的方法可以从CPG开发和整合PDA.
- 需要进一步的经验研究来确定最有效和可行的方法.
- CPG组织应优先开发可靠的方法来链接CPG和PDA,以加强共享决策.
相关概念视频
Ethical Dilemmas II
960
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
960
Methods of Documentation VI: Case Management Model
564
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
564
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.1K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.1K
Methods of Documentation III: PIE
1.3K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.3K
Hazard Ratio
96
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
96
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.5K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.5K


