Institute of Occupational and Social Medicine and Health Service Research, University Hospital Tübingen, Wilhelmstraße 27, 72074 Tübingen, Germany.
Int J Environ Res Public Health. 2019 Jul 12;16(14):2482. doi: 10.3390/ijerph16142482.
: Over recent years, the use of decision aids to promote shared decision-making have been examined. Studies on patient education and on continuing medical education for physicians are less common. This review analyzes intervention and evaluation studies on patient education and continuing medical education which aim to enhance shared decision-making. The following study parameters are of interest: Study designs, objectives, numbers of participants in the education courses, interventions, primary results, and quality of the studies. : We systematically searched for suitable studies in two databases (Pubmed and the Cochrane Database of Systematic Reviews) from the beginning of April through to mid-June 2016. : 16 studies from a total of 462 hits were included: Three studies on patient education and 13 studies on continuing medical education for physicians. Overall, the study parameters were heterogeneous. Major differences were found between the courses; how the courses were conducted, their length, and participants. : The differences found in the studies made it difficult to compare the interventions and the results. There is a need for studies that systematically evaluate and further develop interventions in this area to promote shared decision-making.
近年来，人们已经研究了使用决策辅助工具来促进共同决策。关于患者教育和医生继续医学教育的研究则较少。本综述分析了旨在增强共同决策的患者教育和继续医学教育干预和评估研究。以下是研究参数的相关信息：研究设计、目标、教育课程参与者人数、干预措施、主要结果和研究质量。
我们从 2016 年 4 月初到 6 月中旬，在两个数据库（Pubmed 和 Cochrane 系统评价数据库）中系统地搜索了合适的研究。从总共 462 项研究结果中筛选出 16 项研究：3 项患者教育研究和 13 项医生继续医学教育研究。总的来说，研究参数具有异质性。课程之间存在很大差异；课程的开展方式、长度和参与者均有不同。
研究中的差异使得很难比较干预措施和结果。需要有研究系统地评估和进一步开发该领域的干预措施，以促进共同决策。
