Diouf Ndeye Thiab, Menear Matthew, Robitaille Hubert, Painchaud Guérard Geneviève, Légaré France
Canada Research Chair in Shared Decision Making and Knowledge Translation, Research Axis of Population Health and Practice-Changing Research, CHU de Québec - Université Laval Research Centre, Saint-François-d'Assise Hospital, Quebec City, Quebec, G1L 3L5, Canada.
Canada Research Chair in Shared Decision Making and Knowledge Translation, Research Axis of Population Health and Practice-Changing Research, CHU de Québec - Université Laval Research Centre, Saint-François-d'Assise Hospital, Quebec City, Quebec, G1L 3L5, Canada; Department of Family Medicine and Emergency Medicine, Pavillon Ferdinand-Vandry, Quebec City, Quebec, G1V 0A6, Canada.
Patient Educ Couns. 2016 Nov;99(11):1753-1758. doi: 10.1016/j.pec.2016.06.008. Epub 2016 Jun 14.
To update an environmental scan of training programs in SDM for health professionals.
We searched two systematic reviews for SDM training programs targeting health professionals produced from 2011 to 2015, and also in Google and social networks. With a standardized data extraction sheet, one reviewer extracted program characteristics. All completed extraction forms were validated by a second reviewer.
We found 94 new eligible programs in four new countries and two new languages, for a total of 148 programs produced from 1996 to 2015-an increase of 174% in four years. The largest percentage appeared since 2012 (45.27%). Of the 94 newprograms, 42.55% targeted licensed health professionals (n=40), 8.51% targeted pre-licensure (n=8), 28.72% targeted both (n=27), 20.21% did not specify (n=19), and 5.32% targeted also patients (n=5). Only 23.40% of the new programs were reported as evaluated, and 21.28% had published evaluations.
Production of SDM training programs is growing fast worldwide. Like the original scan, this update indicates that SDM training programs still vary widely. Most still focus on the single provider/patient dyad and few are evaluated.
This update highlights the need to adapt training programs to interprofessional practice and to evaluate them.
更新针对卫生专业人员的共享决策制定（SDM）培训项目的环境扫描。
我们检索了两项2011年至2015年针对卫生专业人员的SDM培训项目的系统评价，同时也在谷歌和社交网络上进行了搜索。由一名评审员使用标准化的数据提取表提取项目特征。所有完成的提取表均由另一名评审员进行验证。
我们在四个新国家和两种新语言中发现了94个新的合格项目，1996年至2015年期间共有148个项目，四年内增长了174%。自2012年以来出现的项目占比最大（45.27%）。在94个新项目中，42.55%针对有执照的卫生专业人员（n = 40），8.51%针对执照前人员（n = 8），28.72%针对两者（n = 27），20.21%未明确说明（n = 19），5.32%也针对患者（n = 5）。据报告，只有23.40%的新项目进行了评估，21.28%有已发表的评估结果。
全球范围内SDM培训项目的数量增长迅速。与最初的扫描一样，此次更新表明SDM培训项目仍然差异很大。大多数项目仍侧重于单一提供者/患者二元组，很少进行评估。
此次更新突出了使培训项目适应跨专业实践并对其进行评估的必要性。
