分享决策的负担:对SDM研究中负担评估的范围审查
Victor Montori1, Fiorella Huijgens2, Michael R Gionfriddo1
1Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, USA.
Patient education and counseling
|February 19, 2026
概括
虽然许多研究间接评估了共享决策 (SDM) 的负担,但没有一个研究明确地衡量了它. 未来的研究应该专注于评估SDM负担,以改善其临床实践.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 决策科学 决策科学 决策科学
- 患者参与 患者参与
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要.
- SDM的过程可能会给患者和临床医生带来负担.
- 了解这种负担对于优化SDM实施至关重要.
研究的目的:
- 对评估SDM的研究如何捕捉相关负担进行范围审查.
- 在现有文献中确定用于评估SDM负担的频率和方法.
主要方法:
- 在科学网和Scopus上搜索相关研究.
- 包括报告SDM测量得分的研究,并从数量或质量上捕捉SDM负担.
- 提取了关于研究特征和评估SDM及其负担的方法的数据.
- 将负担评估分类为认知,情感,社会,时间,后勤/财务和期望.
主要成果:
- 包括218项研究,主要来自美国和瘤学环境.
- 没有明确旨在评估SDM负担的研究,也没有发现特定的工具.
- 193项研究 (88.5%) 间接捕捉了负担方面,经常使用决策冲突量表.
- 认知,情绪和社会负担最常被评估.
结论:
- 许多研究间接捕捉到SDM负担的各个方面,但没有直接评估它.
- 未来的研究应该明确评估SDM负担,以了解其对SDM实践的影响.
- 评估SDM负担对于设计有效的干预措施和政策至关重要,以加强SDM的临床采用.
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