台湾居民医生共同决策的经验
Jing-Yi Lu1, Ya-Hui Lee2, Chung-Yueh Shih3
1Healthcare Administration, Asia University.
Health communication
|February 3, 2026
概括
住院医生在各个阶段都使用三次谈话模式进行共享决策 (SDM),但实践因专业而异. 需要量身定制的培训和工具来提高SDM的有效性和患者护理质量.
科学领域:
- 医学教育 医学教育
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要.
- 三讲模式为临床实践中SDM提供了一个框架.
- 了解住院医生的SDM经验对于改善医疗保健服务至关重要.
研究的目的:
- 在台湾的住院医生中探索临床经验和对SDM三谈模式的看法.
- 确定跨医学专业的SDM实践中的差异.
主要方法:
- 进行了质量,半结构化的采访,与内科,外科,家庭医学和急诊医学的19名住院医生进行了采访.
- 使用有目的抽样从台湾南部一家教学医院招募参与者.
主要成果:
- 居民的经验与三种谈话模式的三个阶段一致:团队谈话,选择谈话和决策谈话.
- 由于临床背景和时间限制,SDM实践在各专业之间存在差异.
- 医生强调患者和家人的参与,明确解释选择,以及共识建设.
结论:
- 需要专业特定的策略来优化SDM实施.
- 量身定制的SDM培训和决策支持工具可以增强医生与患者之间的关系和护理质量.
- 解决跨专业SDM实践的差异是改善医疗保健结果的关键.
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