儿童临床医生在共同决策时如何创造选择意识
Holly Hoa Vo1, Jeffrey D Robinson2, Douglas J Opel3
1Division of Pulmonary and Sleep Medicine and Division of Bioethics and Palliative Care, Department of Pediatrics, University of Washington School of Medicine and Treuman Katz Center for Pediatric Bioethics and Palliative Care, Seattle Children's Research Institute, 1900 Ninth Ave, M/S: JMB-6; Seattle, WA, USA 98101.
Academic pediatrics
|August 30, 2025
概括
临床医生在共享决策 (SDM) 过程中使用多种方法向患者提供医疗选择信息. 标准化如何传达选择意识可以改善儿童护理中的SDM实施.
科学领域:
- 医疗沟通
- 分享决策 (SDM)
- 儿童医疗保健
背景情况:
- 分享决策 (SDM) 对于以患者为中心的护理至关重要,患者参与医疗选择.
- 有效沟通治疗选择对于成功的SDM至关重要.
- 了解临床医生如何创造选择意识是改善SDM实施的关键.
研究的目的:
- 描述儿科临床医生在SDM期间创造选择意识的方法.
- 分析临床医生向患者提供多种治疗方案的沟通策略.
- 在儿科临床接触中确定选择意识的变化.
主要方法:
- 一个涉及视频录制的儿科接触的横截面观察研究的二次分析.
- 谈话分析适用于21次临床医生报告执行SDM的34个共享决策.
- 包括美国一家儿童医院的6个儿科专业的临床医生.
主要成果:
- 确定了两种创建选择意识的主要方法:"单选方法"和"多选方法".
- 单一选项方法最初提供一个推的选项,如果需要,则允许其他选项出现.
- 多选项方法明确地提前呈现所有可用的选择,使SDM更加明确.
结论:
- 儿童临床医生在SDM期间建立选择意识时表现出变化.
- 多选项方法似乎更有效地促进SDM.
- 标准化选择意识的沟通可以提高SDM的实施和有效性.
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