与健康素养有限的患者共享决策 - - 一般医生在价值观澄清方面的经验和需求
Laura Vriese1, Bart Knottnerus2, Nina Groenveld1
1Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, Netherlands.
Scandinavian journal of primary health care
|November 12, 2025
概括
一般医生 (GPs) 发现与有限健康素养 (LHL) 患者的价值观澄清具有挑战性. 他们需要更好的培训和战略,以将患者的偏好纳入共享决策 (SDM).
科学领域:
- 一般实践 一般实践
- 卫生识字 卫生识字
- 共享的决策方式
背景情况:
- 澄清价值观对于共享决策 (SDM) 至关重要,但往往没有得到充分实施.
- 健康素养有限 (LHL) 的患者在表达健康偏好方面面临着特殊的挑战.
- 一般医生 (GPs) 对于促进价值观澄清至关重要,但他们的经验并未得到充分理解.
研究的目的:
- 探索全科医生对LHL患者的价值观澄清的经验.
- 为了确定医生在这个过程中所面临的挑战.
- 确定有用的策略和支持,将价值澄清纳入SDM.
主要方法:
- 与来自较低社会经济水平地区的15名全科医生进行了半结构面试.
- 采访被录音,文字转录,并使用框架方法进行分析.
主要成果:
- 一般医生认为价值观的澄清是重要的,但具有挑战性,通常与问题分析联系在一起.
- 信任和护理的连续性是有效的价值观澄清的基础.
- 一般医生遇到不同的患者LHL角色 (被动与高期望) 并需要支持,如培训和咨询前策略.
结论:
- 在SDM中与LHL患者澄清价值观是复杂的和特定于背景的.
- 一般医生的持续关系使他们能够很好地促进这个过程.
- 澄清价值观是SDM咨询的动态,整合的一部分,在一般实践中.
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