分享决策干预措施是否可以增加医生与患者接触的信任/可信度? 一个范围审查审查
Natalie Strokes1, Caroline Lloyd2, Abigail L Girardin1
1Department of Emergency Medicine, UMass Chan - Baystate, 759 Chestnut Street, Springfield, MA 01199, USA.
Patient education and counseling
|February 26, 2025
概括
共享决策 (SDM) 干预措施可以提高患者的信任,特别是当它们增强临床医生沟通时. 然而,结果各不相同,对于基线信任较低的人群,需要进一步研究.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
- 医学沟通 医学沟通
背景情况:
- 患者的信任对于有效的医疗保健服务至关重要.
- 共享决策 (SDM) 越来越被认为是以患者为中心护理的关键组成部分.
- 了解SDM对患者信任的影响对于优化临床实践至关重要.
研究的目的:
- 系统地审查有关共享决策 (SDM) 干预措施对患者信任的影响的文献.
- 确定影响患者信任结果的具体干预特征.
主要方法:
- 进行了系统的文献搜索.
- 数据提取包括干预细节,使用的信任量表和结果.
- 20项研究符合分析的纳入标准.
主要成果:
- 八项研究报告说,在SDM干预后,患者信任度显著增加.
- 十二项研究没有发现对信任的统计学意义上的变化.
- 在任何包括的研究中,患者的信任并不是主要结局.
结论:
- SDM干预措施有可能增强患者对医生与患者关系的信任.
- 在SDM干预中改善临床医生沟通与增加的信任有关.
- 未来的研究应该在基线信任度较低的人群中探索SDM,以避免测量中的潜在上限效应.
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