"医生帮助我做出决定":对避孕药的语言分析 在临床接触中分享决策叙述,由决策辅助移动应用程序支持
Catherine T Witkop1, Lauren A Maggio2, Abigail Konopasky3
1Departments of Gynecologic Surgery & Obstetrics and Preventive Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Perspectives on medical education
|March 2, 2026
概括
患者和决策辅助应用程序在避孕护理中发挥作用. 医生支持患者的决策,强调了医疗保健中共享决策的协作性质.
科学领域:
- 医学教育 医学教育
- 以患者为中心的护理
- 医疗信息学 医疗信息学
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理和医疗培训至关重要.
- 对SDM实施的障碍仍然存在,对患者代理的理解有限.
- 调查患者关于代理的叙述是改善SDM便利性的关键.
研究的目的:
- 检查患者如何叙述他们在避孕护理中的代理体验.
- 确定医生和决策辅助应用程序在促进患者代理方面的作用.
- 告知教育工作者和卫生专业人员加强SDM.
主要方法:
- 这项定性研究涉及21名女性患者 (17至45岁) 使用决策辅助应用程序.
- 半结构面试的语言分析,以确定代理的标记.
- 专注于对避孕服务的接触.
主要成果:
- 患者描述了个人在信息搜索和表达需求等任务中的作用.
- 决策辅助应用程序作为信息来源并验证了患者的知识.
- 医生充当支持者,促使患者采取行动和行动.
结论:
- 语言分析为患者的行为体验提供了洞察力.
- 患者,医生和决策辅助应用程序都在SDM中扮演着不同的代理角色.
- 了解分布式代理可以在临床接触和教育中改善SDM.
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