韩国医疗保健的共同决策:一个全面的审查
Yelim Kwon1, Seungmin Nam2, Soan Shin1
1Department of Medicine, Hanyang University College of Medicine, Seoul, Korea.
Journal of Korean medical science
|September 23, 2025
概括
本范围审查绘制了韩国共享决策 (SDM) 研究的地图,发现了一个不断增长但分散的领域. 需要文化适应的框架和验证的工具来推进SDM实践和政策.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
- 医疗决策的制定 医疗决策的制定
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要,但其在韩国的研究格局仍然未被绘制.
- 了解SDM研究的范围和特征对于推动其在韩国医疗保健中的实施至关重要.
研究的目的:
- 对韩国医疗保健中的SDM研究进行范围审查.
- 检查韩国SDM研究的范围,关键主题,概念框架,工具,决策辅助工具和实施背景.
主要方法:
- 系统搜索9个电子数据库 (包括韩国特定的数据库) 的英语和韩语研究,直到2024年.
- 包括涉及韩国人口的研究,解决SDM或患者参与医疗保健决策的问题.
- 遵守乔安娜·布里格斯研究所的方法和PRISMA-ScR指南.
主要成果:
- 62项研究符合9,177个记录的纳入标准,主要使用定量设计 (74.2%).
- 研究重点是终身护理,瘤学和初级保健,其中主要主题包括患者体验,障碍和提供者观点.
- 概念模型的实际应用有限,但发现了新兴的文化定制框架和决策辅助工具.
结论:
- 韩国SDM研究正在增长,但在主题上是分散的,概念整合和验证的工具开发不足.
- 推进SDM需要文化基础的框架,严格验证的工具,以及根据韩国的背景量身定制的系统级支持.
- 结果为类似的全球环境提供了洞察力,以加强SDM实践和政策.
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