• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文OA文献 >A web-based clinical decision tool to support treatment decision-making in psychiatry: a pilot focus group study with clinicians, patients and carers
【2h】

A web-based clinical decision tool to support treatment decision-making in psychiatry: a pilot focus group study with clinicians, patients and carers

机译：基于网络的临床决策工具，可支持精神病学中的治疗决策：与临床医生，患者和护理人员进行的试点性焦点小组研究

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background. Treatment decision tools have been developed in many fields of medicine, including psychiatry, however benefits for patients have not been sustained once the support is withdrawn. We have developed a web-based computerised clinical decision support tool (CDST), which can provide patients and clinicians with continuous, up-to-date, personalised information about the efficacy and tolerability of competing interventions. To test the feasibility and acceptability of the CDST we conducted a focus group study, aimed to explore the views of clinicians, patients and carers.Methods. The CDST was developed in Oxford. To tailor treatments at an individual level, the CDST combines the best available evidence from the scientific literature with patient preferences and values, and with patient medical profile to generate personalised clinical recommendations. We conducted three focus groups comprising of three different participant types: consultant psychiatrists, participants with mental health diagnosis and/or experience of caring for someone with a mental health diagnosis, and primary care practitioners and nurses. Each 1-hour focus group started with a short visual demonstration of the CDST. To standardise the discussion during the focus groups, we used the same topic guide that covered themes relating to the acceptability and usability of the CDST. Focus groups were recorded and any identifying participant details were anonymised. Data were analysed thematically and managed using the Framework method and the constant comparative method.Results. The focus groups took place in Oxford between October 2016 and January 2017. Overall 31 participants attended (12 consultants, 11 primary care practitioners and 8 patients or carers). The main themes that emerged related to CDST applications in clinical practice, communication, conflicting priorities and record keeping. CDST was considered a useful clinical decision support, with recognised value in promoting clinician-patient collaboration and contributing to the development of personalised medicine. One major benefit of the CDST was perceived to be the open discussion about the possible side-effects of medications. Participants from all the three groups, however, universally commented that the terminology and language presented on the CDST were too medicalised, potentially leading to ethical issues around consent to treatment.Conclusions. The CDST can improve communication pathways between patients, carers and clinicians, identifying care priorities and providing an up-to-date platform for implementing evidence-based practice, with regard to prescribing practices.
机译：背景。在包括精神病学在内的许多医学领域已经开发了治疗决策工具，但是一旦撤消支持，患者的利益就无法持续。我们已经开发了基于网络的计算机化临床决策支持工具（CDST），可以为患者和临床医生提供有关竞争性干预措施的有效性和耐受性的连续，最新的个性化信息。为了测试CDST的可行性和可接受性，我们进行了焦点小组研究，旨在探讨临床医生，患者和护理人员的观点。 CDST是在牛津开发的。为了在个人层面上量身定制治疗方案，CDST将科学文献中的最佳可用证据与患者的偏好和价值观以及患者的医疗状况相结合，以生成个性化的临床建议。我们进行了三个焦点小组的讨论，包括三种不同的参与者类型：顾问精神病医生，具有精神健康诊断和/或护理经验的人，以及初级保健从业者和护士。每个1小时的焦点小组从CDST的简短视觉展示开始。为了使焦点小组中的讨论标准化，我们使用了与涵盖CDST的可接受性和可用性有关的主题的主题指南相同的主题指南。记录焦点小组，并对所有识别参与者的细节进行匿名处理。对数据进行主题分析，并使用框架方法和恒定比较方法进行管理。焦点小组会议于2016年10月至2017年1月在牛津举行。共有31位参与者参加（12位顾问，11位初级保健从业人员和8位患者或护理人员）。出现的主要主题涉及CDST在临床实践中的应用，沟通，优先顺序冲突和记录保存。 CDST被认为是有用的临床决策支持，在促进临床医生与患者之间的合作以及为个性化医学的发展做出贡献方面具有公认的价值。人们认为CDST的一个主要好处是对药物可能产生的副作用的公开讨论。但是，所有这三个小组的参与者都普遍认为CDST上提供的术语和语言过于医学化，可能导致围绕同意治疗的道德问题。 CDST可以改善患者，护理人员和临床医生之间的沟通途径，确定护理优先级，并提供有关实施处方实践的循证实践的最新平台。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

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