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在外科瘤学家中引起价值观:来自国际调查的结果
Jacquelyn E Fitzgerald1, Avery C Bechthold2, Omari Whitlow3
1Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
概括
手术瘤学家经常引起患者的价值观,但这些很少影响推. 需要改进培训和重新评估方法,以将患者价值观纳入外科决策.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 以患者为中心的护理
背景情况:
- 在外科瘤学中,以患者为中心的护理中,价值引发至关重要.
- 这项研究研究了外科医生如何将患者价值观纳入临床决策.
研究的目的:
- 检查外科瘤学家在引起,记录和纳入患者价值观方面的做法.
- 确定在外科瘤学中基于价值观的决策的障碍和培训需求.
主要方法:
- 在91名外科瘤学家中进行了一项国际在线调查.
- 该调查评估了价值观的产生时间,方法,文档,沟通和准备.
- 使用了描述性统计和主题分析.
主要成果:
- 87%的外科医生引起了患者的价值观,而73%的外科医生启动了价值观对话.
- 在EHR (77%) 和瘤董事会 (83%) 期间的沟通记录是常见的.
- 然而,患者价值在<25%的病例中影响了推,时间限制 (70%) 和有限的培训 (27%) 是主要障碍.
结论:
- 在外科瘤学家中,价值诱导很普遍,但很少影响推.
- 需要完善策略和加强培训,以便有效地整合患者的价值观.
- 大多数外科医生希望接受额外的培训,尽管他们觉得自己已经做好了准备.
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