消费者对咨询过程中质量的看法及其与“共同决策”方法的相关性。
Consumers' views of quality in the consultation and their relevance to 'shared decision-making' approaches.
作者信息
Edwards A, Elwyn G, Smith C, Williams S, Thornton H
机构信息
Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Llanedeyrn, Cardiff CF3 7PN, UK.
出版信息
Health Expect. 2001 Sep;4(3):151-61. doi: 10.1046/j.1369-6513.2001.00116.x.
BACKGROUND
There is a recognized need to assess the effects of shared decision-making and other communication interventions. However, the outcomes usually assessed for evidence of 'effectiveness' are determined by researchers and have not been based on consumers' views.
AIM
This study aimed to identify the important outcomes of consultations for consumers, and to compare with those reported in the current literature.
SETTING AND PARTICIPANTS
Forty-seven participants attending six focus group interviews. Most interviews took place in and all were orientated towards the UK primary care setting.
METHODS
Focus group study.
RESULTS
Many affective outcomes were identified, consistent with the current literature trends. However, many cognitive and behavioural outcomes that are assessed in the current literature were not noted by participants as important. Furthermore, a broader range of outcomes than is evident in the current literature was viewed as important to these participants.
CONCLUSIONS
There is a need to revisit the outcomes which are assessed in decision-making and communication research. The outcomes of greatest importance to consumers must be identified and confirmed by new research which is based directly on the views of consumers themselves.
背景
人们已经认识到需要评估共同决策和其他沟通干预措施的效果。然而，通常为“有效性”证据而评估的结果是由研究人员确定的，并非基于消费者的观点。
目的
本研究旨在确定对消费者而言咨询的重要结果，并与当前文献中报道的结果进行比较。
设置与参与者
47名参与者参加了6次焦点小组访谈。大多数访谈在英国初级医疗环境中进行，且所有访谈都以该环境为导向。
方法
焦点小组研究。
结果
确定了许多情感方面的结果，这与当前文献趋势一致。然而，参与者并未将当前文献中评估的许多认知和行为结果视为重要结果。此外，对这些参与者来说，一系列比当前文献中更广泛的结果被视为重要结果。
结论
有必要重新审视决策和沟通研究中评估的结果。必须通过直接基于消费者自身观点的新研究来确定并确认对消费者最重要的结果。
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