Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599, USA.
Patient Educ Couns. 2012 Feb;86(2):189-94. doi: 10.1016/j.pec.2011.04.033. Epub 2011 Jun 15.
To determine the feasibility and effectiveness of in-clinic decision aid distribution using a care assistant.
We identified potentially eligible patients scheduled for upcoming appointments in our General Internal Medicine Clinic (n=1229). Patients were deemed eligible for two decision aids: prostate cancer screening and/or weight loss surgery. Patients were approached to view the decision aid in-clinic. Our primary measures were the proportion of decision aids distributed to eligible patients, and the proportion of decision aids viewed.
Among 913 patients who attended their scheduled appointments, 58% (n=525) were approached and eligibility was assessed by the staff member. Among the 471 who remained eligible, 57% (n=268) viewed at least a portion of the target decision aid. The mean viewing time for patients who watched less than the complete decision aid was 13 min.
In clinic viewing of decision aids may be a feasible and effective distribution method in primary care.
In clinic distribution requires an electronic health information system to identify potentially eligible patients, and a staff member dedicated to DA distribution. Brief decision aids (less than 10 min) are needed so patients can complete their use prior to the visit to facilitate patient-physician decision making.
确定使用护理助理在诊室内分发决策辅助工具的可行性和效果。
我们确定了即将在我们的普通内科诊所就诊的 1229 名潜在合格患者。这些患者被认为适合两种决策辅助工具：前列腺癌筛查和/或减肥手术。在诊室内向患者介绍了决策辅助工具。我们的主要衡量标准是向合格患者分发的决策辅助工具的比例，以及查看决策辅助工具的比例。
在 913 名按计划就诊的患者中，58%（n=525）由工作人员接触并评估了他们的资格。在仍然符合条件的 471 名患者中，57%（n=268）至少观看了目标决策辅助工具的一部分。观看不完整决策辅助工具的患者的平均观看时间为 13 分钟。
在初级保健中，在诊室内观看决策辅助工具可能是一种可行且有效的分发方法。
在诊室内分发需要一个电子健康信息系统来识别潜在合格的患者，以及一名专门负责分发决策辅助工具的工作人员。需要简短的决策辅助工具（不到 10 分钟），以便患者在就诊前完成使用，以促进医患决策。
