为什么大多数澳大利亚人认为通过诊断测试发现无害的异常是有价值的:混合方法研究
Tomas Rozbroj1, Ming Hui Hoo1, Alexandra Gorelik1
1School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
概括
许多澳大利亚人寻求诊断测试,即使被告知它们是无益的. 这是由对保证,生物数据价值和怀疑异常是真正无害的信念驱动的,影响患者的测试选择.
科学领域:
- 医疗决策的制定 医疗决策的制定
- 健康心理学 心理健康心理学
- 诊断测试 诊断测试 诊断测试
背景情况:
- 个人经常希望进行诊断测试,尽管他们意识到临床的无益和风险.
- 患者对测试的偏好受到任何获得信息固有的价值的信念的影响.
- 了解这些偏好对于有效的患者咨询和资源分配至关重要.
研究的目的:
- 通过诊断测试调查澳大利亚成年人对通过诊断测试识别无害异常的态度.
- 探索与这些态度相关的潜在信念.
- 确定影响临床不有益的诊断测试需求的因素.
主要方法:
- 一种混合方法的方法,结合了调查数据分析.
- 关于对无害异常的态度的自由文本反应的定性分析.
- 回归分析将态度与更广泛的信仰和人口统计数据联系起来.
主要成果:
- 近60%的参与者发现识别无害的异常有价值.
- 关键驱动因素包括感知到的心理安慰,生物数据采集和监控潜力.
- 对异常的怀疑是真正无害的,对测试的广泛实用性的信念是重要的潜在因素.
结论:
- 患者对诊断测试的选择受到更广泛的信念和心理因素的深刻影响,而不仅仅是临床效用.
- 现有的沟通测试风险的策略可能因未能解决这些更深层次的信念而受到限制.
- 未来的沟通应该解决心理驱动因素和更广泛的信念,以改善患者对诊断测试的理解和决策.
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