一个日常的以患者为中心的初级保健讨论模型:对个性化,以患者为中心的决策 (ZIP) 方法的零化可行性和可接受性研究的协议
Sarah Skurla Dorin1, Frances B Schulenberg1, Stephanie Visnic1
1Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, United States.
JMIR research protocols
|October 8, 2025
概括
专注于个性化,以患者为中心的决策 (ZIP) 方法为初级保健提供了一种实际的共享决策 (SDM) 方法. 这项试点研究评估了其可行性和患者/医生在实际临床环境中的可接受性.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 临床决策 - 临床决策
背景情况:
- 目前的共享决策 (SDM) 模型由于时间限制,通常不适用于初级保健.
- 专注于个性化,以患者为中心的决策 (ZIP) 方法为传统的SDM提供了一个简洁,以患者为中心的替代方案.
- 在ZIP方法中,优先考虑个性化推,定性权衡陈述和患者自主权.
研究的目的:
- 在初级保健环境中试点测试基于纸张的ZIP方法的可行性和可接受性.
- 为患者和初级保健医生 (PCP) 评估ZIP方法.
主要方法:
- 一个多组件的试点实施研究,包括PCP培训和基于遭遇的决策辅助.
- 案例研究包括肺癌查 (LCS) 和血压 (BP) 治疗决策.
- 患者和PCP的接触被录音,随后进行了患者调查/采访和PCP采访,以评估可行性和可接受性.
主要成果:
- 该研究招募了10名PCP和23名患者 (17%LCS,83%BP治疗).
- 数据收集时间为2023年10月至2024年4月,分析结束时间为2024年12月.
- 计划提交的论文计划于2025年6月提交.
结论:
- 试点结果将为实践SDM在初级保健中的整合提供信息.
- 这项试点研究是ZIP方法的大规模试验的基础.
- 这些发现旨在加强初级保健机构内以患者为中心的护理.
相关概念视频
Patient-centered Care
2.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.9K
Methods of Documentation VI: Case Management Model
857
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
857
Methods Of Healthcare Delivery System
4.0K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.0K
Primary Healthcare Services
1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.9K
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
Ethical Dilemmas II
2.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.3K


