Jacklin Simon, Maskrey Neal, Chapman Stephen
School of Pharmacy, Keele University, Keele, United Kingdom.
JMIR Med Educ. 2018 Nov 6;4(2):e10088. doi: 10.2196/10088.
Shared decision making (SDM) involves the formation of a collaborative partnership between the patient and clinician combining both of their expertise in order to benefit decision making. In order for clinicians to be able to carry out this skilled task, they require practice. Virtual reality, in the form of a virtual patient, could offer a potential method of facilitating this.
The objective of this study was to create a virtual patient that simulated a primary care consultation, affording the opportunity to practice SDM. A second aim was to involve patients in the design of a virtual patient simulation and report the process of the design.
We employed a multistep design process drawing on patient and expert involvement.
A virtual patient, following a narrative style, was built, which allows a user to practice and receive feedback; both clinical and communication skills are required for the simulation. The patient group provided multiple insights, which the academic team had overlooked. They pertained mostly to issues concerning the patient experience.
It is possible to design a virtual patient that allows a learner to practice their ability to conduct SDM. Patient input into the design of virtual patient simulations can be a worthwhile activity.
共同决策（SDM）涉及患者与临床医生之间形成一种合作关系，结合双方的专业知识以促进决策。为了使临床医生能够执行这项有技巧的任务，他们需要进行练习。以虚拟患者形式呈现的虚拟现实技术可能提供一种促进练习的潜在方法。
本研究的目的是创建一个模拟初级保健咨询的虚拟患者，提供练习共同决策的机会。第二个目的是让患者参与虚拟患者模拟的设计并报告设计过程。
我们采用了一个多步骤设计过程，借鉴了患者和专家的参与。
构建了一个采用叙事风格的虚拟患者，它允许用户进行练习并获得反馈；模拟需要临床技能和沟通技能。患者群体提供了多个学术团队忽略的见解。这些见解大多与患者体验问题有关。
设计一个能让学习者练习共同决策能力的虚拟患者是可行的。让患者参与虚拟患者模拟的设计可能是一项有价值的活动。
