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关于外科医生对紧急一般外科手术风险计算器的看法的一项定性研究
Claire B Rosen1, Amanda L Bader1, Sanford E Roberts1
1From the Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA.
外科医生发现风险计算器在紧急一般外科手术 (EGS) 中对于决策和沟通是有价值的,尽管存在关于有效性的担忧. 理想的计算器是方便的,相关的,易于使用的,有助于知情同意,并可能减轻诉讼.
科学领域:
- 外科手术决策 - - 进行外科手术的决策
- 医疗信息学 医疗信息学
- 风险评估 风险评估
背景情况:
- 紧急通用外科 (EGS) 提出了复杂的管理选择.
- 风险计算器可以支持共享决策和知情同意过程.
研究的目的:
- 探索紧急外科医生对EGS风险计算器的看法.
- 在EGS中识别与使用风险计算器相关的好处和问题.
主要方法:
- 与20名急诊外科医生进行了半结构化采访.
- 在修改的基础理论框架内使用了诱导性分析.
主要成果:
- 外科医生对风险计算器的有效性和健康计算能力的限制表示担忧.
- 计算器被认为对沟通,共识,知情同意和诉讼减轻有好处.
- 理想的EGS风险计算器应该是用户友好的,包含准确的数据,并提供可解释的输出.
结论:
- 外科医生认识到EGS中的风险计算器的潜在好处,即使最初的数据验证问题也存在.
- 方便性和相关性是EGS中理想风险计算器实施的关键特征.
- 进一步的研究应该调查患者的感知,并观察实际使用模式.
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