在医疗保健中数字化知情同意:范围审查
Mascha Goldschmitt1, Patricia Gleim2, Sekina Mandelartz3
1Department of Work, Organizational, and Business Psychology, Johannes Gutenberg University Mainz, Wallstr. 3, Mainz, 55122, Germany. goldschmitt@uni-mainz.de.
BMC health services research
|July 3, 2025
概括
数字化医疗同意改善了患者的理解,但对满意度有不同的结果. 人工智能同意正在出现,需要更多的研究来确保在没有医疗监督的情况下安全实施.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 传统的基于纸张的知情同意在可理解性和定制性方面提出了挑战.
- 数字化,特别是人工智能,为改善同意过程提供了潜在的解决方案.
- 该研究承认其最初的预注册是与PROSPERO (CRD42023397681) 进行的系统审查.
研究的目的:
- 探索医疗同意过程的数字化.
- 识别使用的技术,它们的作用,评估结果和实施成功因素.
主要方法:
- 根据乔安娜·布里格斯研究所 (JBI) 的指导方针进行范围审查.
- 在数据库 (Web of Science, EBSCOHost, PubMed, PubPsych) 搜索了从2012年1月到2024年6月的文章.
- 选了4287个记录,包括最终分析的27项研究.
主要成果:
- 数字同意提高了患者对程序,风险,益处和替代方案的理解.
- 关于患者满意度,方便性和压力的证据是混合的.
- 医疗保健专业人员可能会节省时间,但人工智能技术需要医疗监督.
结论:
- 患者同意的数字化还处于早期阶段,对交互式和人工智能技术的评估有限.
- 对于优化患者和医疗保健专业人员的同意,存在很大的潜力.
- 需要进行进一步的方法学健全的研究来验证发现并指导未来的实施.
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