父母和临床医生的观点对儿童腹的诊断测试:一个定性研究
Anna Jones1, Aparna Mangadu2, Sarah Dallas2
1Department of Pediatrics, University of Utah School of Medicine, Salt Lake City.
JAMA network open
|September 9, 2025
概括
父母和临床医生对儿科腹护理的期望不同,特别是在诊断测试方面. 电子临床决策支持工具 (ECDST) 可以帮助调整这些期望,并改善诊断管理.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 医疗保健服务研究 医疗服务研究
- 临床决策支持 临床决策支持
背景情况:
- 诊断方面的进步增加了对胃肠道病原体的检测.
- 误用诊断可以导致不适当的抗生素使用和增加医疗保健成本.
- 适当的诊断使用对于患者护理和资源管理至关重要.
研究的目的:
- 了解家长和临床医生对儿科腹护理的期望,重点是诊断测试.
- 评估电子临床决策支持工具 (ECDST) 的潜力,以提高适当的诊断使用.
主要方法:
- 使用针对治疗儿科腹的家长和临床医生的有目的抽样进行的定性研究.
- 在犹他州的5个急诊中心和1个急诊室进行了采访.
- 分析采用应用主题分析框架来确定关键主题.
主要成果:
- 父母寻求放心,了解症状和适当的治疗,将诊断视为这些目标的关键.
- 临床医生对诊断在病因/治疗中的作用表示怀疑,但承认它们用于父母的安慰.
- 临床医生认识到ECDST在支持基于证据的决策和改善家庭沟通方面的潜力.
结论:
- 在家长和临床医生对儿科腹护理的期望之间存在紧张关系,特别是在诊断方面.
- 在解决这些护理期望紧张局势方面,ECDST显示出前景.
- 实施ECDST可以促进诊断管理,并优化儿科腹管理.
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