患有不同慢性疾病的墨西哥城患者在医疗决策中的偏好作用
Niels H Wacher1, Pilar Lavielle1, Adriana Leticia Valdés González1
1Clinical Epidemiology Research Unit, UMAE Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico.
Family practice
|September 5, 2025
概括
患有慢性疾病的患者往往希望医生为他们做出医疗决定. 年龄较小,生活质量较好的患者对共享决策角色更感兴趣.
科学领域:
- 医疗决策
- 患者参与
- 慢性疾病管理
背景情况:
- 患者在医疗决策中的偏好对于将护理定制为个人需求和提高医疗保健质量至关重要.
- 了解这些偏好对于改善以患者为中心的医疗实践至关重要.
研究的目的:
- 确定慢性病患者中主动,被动和共享决策角色的普遍性.
- 研究这些偏好与社会人口统计学/临床因素之间的关联.
主要方法:
- 在家庭医疗和一般医院调查了530名患有慢性病的成年患者.
- 使用控制偏好量表来评估患者在决策中的角色.
- 收集有关健康状况和生活质量的数据,随后进行多变量分析.
主要成果:
- 大多数患者 (47.7%) 喜欢被动角色,较少的患者喜欢共享角色 (27.7%) 或主动角色 (24.5%).
- 年龄较大的患者 (≥45岁) 和生活质量较差的患者更喜欢共享决策作用.
- 年龄和生活质量是参与偏好的重要预测因素.
结论:
- 患有慢性病的患者在医疗决策中主要喜欢被动的角色,
- 年轻 (< 45 岁) 且生活质量良好的患者更常见地参与决策.
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