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首页> 外文期刊>Patient Preference and Adherence >Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses
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Does information form matter when giving tailored risk information to patients in clinical settings? A review of patients’ preferences and responses

机译：在临床环境中为患者提供量身定制的风险信息时，信息形式是否重要？回顾患者的喜好和反应

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Neoliberal emphasis on “responsibility” has colonized many aspects of public life, including how health care is provided. Clinical risk assessment of patients based on a range of data concerned with lifestyle, behavior, and health status has assumed a growing importance in many health systems. It is a mechanism whereby responsibility for self (preventive) care can be shifted to patients, provided that risk assessment data is communicated to patients in a way which is engaging and motivates change. This study aimed to look at whether the form in which tailored risk information was presented in a clinical setting (for example, using photographs, online data, diagrams etc.), was associated with differences in patients’ responses and preferences to the material presented. We undertook a systematic review using electronic searching of nine databases, along with handsearching specialist journals and backward and forward citation searching. We identified eleven studies (eight with a randomized controlled trial design). Seven studies involved the use of computerized health risk assessments in primary care. Beneficial effects were relatively modest, even in studies merely aiming to enhance patient–clinician communication or to modify patients’ risk perceptions. In our paper, we discuss the apparent importance of the accompanying discourse between patient and clinician, which appears to be necessary in order to impart meaning to information on “risk,” irrespective of whether the material is personalized, or even presented in a vivid way. Thus, while expanding computer technologies might be able to generate a highly personalized account of patients’ risk in a time efficient way, the need for face-to-face interactions to impart meaning to the data means that these new technologies cannot fully address the resource issues attendant with this type of approach.
机译：新自由主义对“责任”的强调已经殖民了公共生活的许多方面，包括如何提供医疗保健。基于与生活方式，行为和健康状况有关的一系列数据的患者临床风险评估在许多卫生系统中已变得越来越重要。它是一种机制，通过这种机制，可以将自我（预防）护理的责任转移给患者，前提是必须以一种引人入胜并激发变革的方式将风险评估数据传达给患者。这项研究旨在探讨在临床环境中（例如，使用照片，在线数据，图表等）呈现量身定制的风险信息的形式是否与患者对所呈递材料的反应和偏好存在差异。我们对9个数据库进行了电子搜索，并进行了人工搜索专业期刊以及向前和向后的引文搜索，从而进行了系统的审查。我们确定了11项研究（其中8项采用随机对照试验设计）。七项研究涉及在初级保健中使用计算机化的健康风险评估。有益的影响相对较小，即使在仅旨在增强患者与临床医生之间的交流或改变患者对风险的认识的研究中也是如此。在我们的论文中，我们讨论了患者和临床医生之间伴随的话语的明显重要性，这似乎是必要的，以便使有关“风险”的信息有意义，而不论材料是个性化的，还是以生动的方式呈现。因此，尽管扩展的计算机技术可能能够以高效的方式对患者的风险进行高度个性化的描述，但需要面对面的互动才能赋予数据以含义，这意味着这些新技术无法充分利用资源伴随这种类型的方法。

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