探索患者参与和影响数字跨学科咨询因素
Ken Mm Peeters1, Carmen Y Hidding2, Petra Buist3
1Department of Family Medicine, Maastricht University, Maastricht, the Netherlands.
Patient education and counseling
|October 5, 2025
概括
患者参与数字跨学科咨询 (DICO) 取决于医疗问题和医生关系. 在DICO各个阶段定制参与,特别是反,是以患者为中心的关键.
科学领域:
- 医疗信息学 医疗信息学
- 患者参与 患者参与
- 一般实践和专业护理服务.
背景情况:
- 数字跨学科咨询 (DICO) 促进全科医生和医院专家之间的非同步沟通.
- 了解DICO过程中的患者态度和经验对于优化其实施至关重要.
- 关于DICO期间影响患者参与的因素的研究有限.
研究的目的:
- 探索患者对参与数字跨学科咨询 (DICO) 过程的态度和经验.
- 确定影响DICO各个阶段患者参与程度的因素.
- 为制定以患者为中心的DICO指南提供信息.
主要方法:
- 在荷兰进行了一项定性研究.
- 开发了一个概念框架,用于绘制DICO中的患者参与阶段.
- 对27名患者进行了关于他们的DICO经历的半结构面试,并对其进行了分析和三角化.
主要成果:
- 患者将DICO视为初始护理步骤,需要有限的积极参与.
- 一般医生与患者的关系 (信任),医疗问题的性质 (紧急性/严重性) 和患者的偏好显著影响参与.
- 当DICO影响健康选择时,患者重视DICO后的讨论和共享决策.
结论:
- 患者参与DICO取决于上下文,受咨询原因,医疗问题和患者特定因素的影响.
- 整体医生应该在整个DICO过程中定制患者参与,特别是在反阶段.
- 这些发现支持制定有效,以患者为中心的DICO实施指南.
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