在肺癌查中导航共享决策:了解临床医生之间的障碍,培训和转诊倾向
Lisa Carter-Bawa1, Jennifer Elston Lafata2, James E Slaven3
1Center for Discovery & Innovation at Hackensack Meridian Health, Nutley, NJ, USA; Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA.
Patient education and counseling
|August 10, 2025
概括
解决时间负担和加强培训是改善肺癌查 (LCS) 共享决策 (SDM) 的关键. 这些干预措施可以促进临床医生的参与和查计划中的患者结果.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 临床实践中的临床实践
背景情况:
- 共享决策 (SDM) 对于肺癌查 (LCS) 是必不可少的,但面临着不一致的实施.
- 在LCS中存在SDM的专业认可和报销,但临床实践落后.
- 了解影响SDM的临床医生因素对于改善LCS吸收至关重要.
研究的目的:
- 评估影响临床医生的知识,态度和LCS转诊行为的因素.
- 在一个分散的LCS计划中,识别SDM的障碍和推动者.
- 为提高肺癌查中的SDM策略提供信息.
主要方法:
- 一项横截面研究调查了125名初级保健临床医生 (PCC).
- 电子健康记录数据被链接以评估LCS转诊倾向.
- 多变量分析检查了临床医生对SDM和LCS的态度和行为的预测因素.
主要成果:
- 视时间负担为障碍,对LCS和转介率的态度产生了重大影响.
- 正式的SDM培训与LCS中对SDM的良好态度有积极的相关性.
- 时间负担是 SDM 实施所感知障碍的关键决定因素.
结论:
- 减少时间负担和增加SDM培训对于改善临床医生参与LCS至关重要.
- 创新策略,如访问前教育和以团队为基础的护理,可以减轻SDM障碍.
- 解决系统和个体障碍可以提高SDM的有效性和LCS的普及.
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