促进儿科共同决策和儿童参与初级保健的干预措施:系统性审查
Cambray Smith1, Cherise R Glodowski2, Hailey Leiva3
1Department of Health Policy and Management (C Smith), University of North Carolina, Chapel Hill, NC; School of Medicine (C Smith and CR Glodowski) University of North Carolina, Chapel Hill, NC.
Academic pediatrics
|October 29, 2025
概括
改善共享决策 (SDM) 和儿童参与儿科初级保健的干预措施产生了混合但总体而言积极的结果. 未来的努力应该让儿童更直接地参与干预设计和结果测量.
科学领域:
- 儿科初级护理 儿科初级护理
- 医疗保健服务研究 医疗服务研究
- 共享的决策方式
背景情况:
- 共享决策 (SDM) 和儿童参与对于有效的儿科初级保健至关重要.
- 现有的干预措施旨在加强这些方面,但需要进行系统的评估.
研究的目的:
- 系统地审查旨在改善SDM和儿童参与7-18岁儿童初级保健的干预措施的结果.
- 确定影响这些干预成功的因素.
主要方法:
- 在五个数据库中进行了全面的文献搜索.
- 包括的研究是2014年1月至2024年4月期间发表的观察性或随机对照试验.
- 干预措施针对儿童,临床医生或临床层面的变化,重点关注初级保健条件.
主要成果:
- 16项研究符合纳入标准,其中大多数具有中等偏差风险.
- 干预措施包括培训,指导和沟通指南,对知识,沟通和自我效能产生不同的影响.
- 一些干预措施对SDM措施和参与行为产生了混合或无意义的影响,并指出了一些负面影响.
结论:
- 对于儿科SDM和参与的干预措施显示出主要是积极的,但结果是不同的.
- 许多干预措施并不是直接针对儿童互动而设计的,这凸显了需要更多的年轻人参与的需要.
- 标准化结果测量对于未来的研究和干预比较至关重要.
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