医生沟通中的微妙差异和对患者关于低价值护理的决策产生实质性的影响:一个实验性图片研究
Ji Sun Park1, Ji-Su Lee2, Young Kyung Do1,3
1Department of Health Policy and Management, Seoul National University College of Medicine, Jongno-gu, South Korea.
Journal of evaluation in clinical practice
|July 9, 2025
概括
医生沟通显著影响患者对低价值护理的决定. 关于风险和益处的明确沟通,以及避免防御医学策略,可以减少不必要的计算机断层扫描 (CT) 扫描.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学沟通 医学沟通
- 卫生经济学 卫生经济学
背景情况:
- 低价值护理是医疗保健系统的一个重要问题.
- 患者与医生的互动是做出低价值护理决策的关键点.
- 医生采用的沟通策略可以影响这些决定.
研究的目的:
- 研究医生沟通因素对患者接受低价值护理的意愿的影响.
- 量化特定通信元素在假设场景中的影响.
- 在韩国医疗保健背景下探索这种关系.
主要方法:
- 使用了涉及轻微头部伤害和计算机断层扫描 (CT) 的假设 vignettes.
- 根据明确的建议,风险/益处沟通和防御医学线索,评估接受低值CT的意愿.
- 分析了1229名韩国成年人的数据,检查了参与者的特征.
主要成果:
- 医生沟通显著影响了关于低值CT的决定.
- 明确的建议增加了对低值CT的意愿 (68.5%至76.6%).
- 风险/好处的沟通减少了意愿,而防御医学线索增加了 (69%).
结论:
- 医生沟通是患者对低价值护理的决定的一个关键因素.
- 改善医生沟通策略对于质量改善举措至关重要.
- 针对性沟通可以成为减少低价值护理的利用的杆点.
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