在全科医生咨询中共享决策和社会处方:一项观察性研究
Michael Kugel1, Tim M Jackson1, Abi Antonito1
1Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Journal of evaluation in clinical practice
|December 29, 2025
概括
在社会处方 (SP) 咨询中,共享决策 (SDM) 在身体和心理健康之间没有显著差异. 虚拟护理是指虚拟的护理.
科学领域:
- 一般的做法一般的做法
- 医疗保健决策制定 医疗保健决策制定
- 数字健康数字健康
背景情况:
- 共享决策 (SDM) 涉及一般医生和患者在基于证据的医疗保健选择上进行合作.
- 社会处方 (SP) 将患者与社区的福祉资源联系起来.
- 虚拟护理的整合需要检查SDM和SP促进.
研究的目的:
- 在涉及SP的GP咨询期间评估SDM的水平.
- 探索虚拟护理的潜力,以支持SP环境中的SDM.
主要方法:
- 一项回顾性观察性研究分析了英格兰西南部65次记录的全科医生咨询.
- 咨询成绩单使用OPTION^12表格对患者参与决策进行评估.
主要成果:
- 在所有咨询中,OPTION^12的平均得分为47.90,表明SDM中度.
- 一般医生擅长识别问题,但在解释利弊方面效率较低.
- 涉及SP的身体 (45.83) 和心理健康 (50.10) 咨询的SDM得分相似.
结论:
- 对于SP的GP咨询中的SDM水平在身体和心理健康病例之间没有区别.
- 需要进一步调查,以了解虚拟护理如何增强SP中的SDM.
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