向患有慢性健康状况的患者提交摘要报告,以支持基于价值观的讨论和决策:文献综述
Amy C Cole1, Chao-Chin Liu2, Jennifer Bissram3
1The University of North Carolina, Carolina Health Informatics Program, Chapel Hill, USA; The University of North Carolina, Division of Healthcare Engineering, Department of Radiation Oncology, Chapel Hill, USA.
总结报告可以通过加强患者和临床医生之间的信息交换和基于价值观的讨论来改善共享决策 (SDM). 需要进一步研究量身定制报告,以鼓励患者参与SDM.
科学领域:
- 卫生沟通健康沟通
- 共享决策 共同的决策
- 以患者为中心的护理
背景情况:
- 以患者为中心的护理使医疗决策与患者的偏好,需求和价值观保持一致.
- 促进患者偏好澄清可以增强共享决策 (SDM).
研究的目的:
- 了解汇总报告如何影响患者和临床医生的行为,以价值观为基础的讨论和医疗保健决策中的SDM.
主要方法:
- 在Embase,PubMed,Scopus和CINAHL进行系统的文献搜索,在Connected Papers进行补充搜索.
- 包括的研究重点是从慢性疾病的自我报告患者数据的总结报告,评估SDM或决策冲突.
- 提取了关于报告格式,利用,沟通特征 (霍金斯框架) 和功能 (OHIT框架) 的数据.
主要成果:
- 关于摘要报告的意图,出现了四个主题;没有研究使用电子健康记录进行报告.
- 所有研究都使用通信特征 (霍金斯),大多数 (90%) 使用通信功能 (OHIT).
- 在53%的研究中观察到对SDM的积极影响,在67%的研究中减少了决策冲突.
结论:
- 汇总报告增强了信息交换和基于价值观的讨论,经常改善SDM.
- 在量身定制的摘要报告如何主动鼓励患者价值观讨论和SDM方面存在知识差距,特别是当临床医生没有发起时.
- 普洛斯佩罗的注册号是CRD42023434558.8. 这是一个很好的方法.
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