...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Neuropsychiatric Disease and Treatment >Shared decision making in psychiatric practice and the primary care setting is unique, as measured using a 9-item Shared Decision Making Questionnaire (SDM-Q-9)
【24h】

Shared decision making in psychiatric practice and the primary care setting is unique, as measured using a 9-item Shared Decision Making Questionnaire (SDM-Q-9)

机译：精神病学实践和基层医疗机构中的共享决策制定是独特的，使用9个项目的共享决策问卷（SDM-Q-9）进行衡量

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: To measure and compare the extent to which shared a decision making (SDM) process is implemented both in psychiatric outpatient clinical encounters and in the primary care setting from the patient’s perspective.Methods: A total of 1,477 patients recruited from the Canary Islands Health Service mental health and primary care departments were invited to complete the nine-item Shared Decision Making Questionnaire (SDM-Q-9) immediately after their consultation. MANCOVA, Student’s t-test, and Pearson correlations were used to assess the relationship and differences between SDM-Q-9 scores in patient samples.Results: No differences were found in SDM-Q-9 total scores between the two patient samples, but there were relevant differences when item by item analysis was applied; differences were observed according to the different steps of the SDM process. SDM is present to a very limited extent in the routine psychiatric setting compared to primary care. Patients’ age, education, type of appointment, and treatment decision all play a specific role in predicting SDM.Conclusion: The study provides evidence that SDM is a complex process that needs to be analyzed according to its different steps. SDM patterns were different in the primary care and psychiatric outpatient care settings and reflect quite a different perspective of the decision making process.
机译：背景：从患者的角度衡量和比较在精神科门诊临床遭遇和基层医疗环境中实施共享决策（SDM）过程的程度。方法：从Canary Islands Health招募的1,477名患者咨询后，精神病服务和初级保健部门应立即完成9个项目的共享决策调查表（SDM-Q-9）。使用MANCOVA，Student's t检验和Pearson相关性评估患者样本中SDM-Q-9得分之间的关​​系和差异。结果：两个患者样本之间的SDM-Q-9总得分没有差异，但应用逐项分析时存在相关差异;根据SDM过程的不同步骤观察到差异。与初级保健相比，常规精神病治疗中SDM的存在程度非常有限。患者的年龄，教育程度，任命类型和治疗决策均在预测SDM中起特定作用。结论：该研究提供证据表明SDM是一个复杂的过程，需要根据其不同步骤进行分析。在初级保健和精神科门诊中，SDM模式有所不同，反映出决策过程的不同观点。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号