为患有功能衰竭的人开发死亡风险预测工具:对最终用户优先级进行名义组技术研究
Ping Liu1, Niamh Caffrey2, Maoliosa Donald1
1Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
概括
最终用户希望用他们的投入来设计功能衰竭和死亡风险工具. 与患者和提供者共同设计这些工具可以提高临床实践中的可用性和采用性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健服务研究 医疗服务研究
- 生物统计学 生物统计学
背景情况:
- 现有的功能衰竭死亡风险预测工具缺乏最终用户参与设计.
- 由于没有最终用户的投入,这些工具的临床采用受到限制.
研究的目的:
- 确定最终用户对死亡风险预测工具的需求和偏好.
- 为脏衰竭患者提供这些工具的开发信息,并提高这些工具的可用性.
主要方法:
- 在一个在线共识研讨会中,采用了修改后的名义组技术.
- 参与者包括来自加拿大的患者,护理人员,医疗保健提供者和政策制定者.
- 传统的内容分析被用来分析讨论成绩单.
主要成果:
- 最终用户优先考虑将工具集成到临床环境中,并与科医生进行咨询.
- 个性化预测时间视界和对临床变化的重新评估是关键偏好.
- 包括并发症,功能衰竭特征和脆弱状态被确定为关键预测变量.
结论:
- 最终用户强调了对死亡率预测工具的设计和使用考虑.
- 与最终用户偏好共同设计未来的工具对于提高可用性和临床采用是至关重要的.
- 解决诸如提供者信任和患者准备等因素对于成功实施至关重要.
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