Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.
Capital and Coast District Health Board, Wellington, New Zealand.
Fam Pract. 2020 Sep 5;37(4):535-540. doi: 10.1093/fampra/cmaa022.
Assessing decision-making capacity to health care is within the scope of practice for all doctors, yet the experience of GPs in this area is unknown.
To explore the experiences, perspectives, approaches and challenges for GPs in New Zealand when conducting decision-making capacity assessments.
Qualitative study design comprising individual in-depth semi-structured interviews conducted with a convenience sample of GPs. Interview transcripts were transcribed verbatim and analysed using a thematic analysis approach.
Twelve participants were recruited. The following themes emerged: (i) GPs' roles and responsibilities in decision-making capacity assessments; (ii) GPs lack formal training, knowledge, and confidence in decision-making capacity assessments; (iii) the legal interface of decision-making capacity assessments; (iv) GPs' relationships with specialists and the resulting impact on their confidence in decision-making capacity assessments; and (v) opportunities to improve GPs' knowledge and confidence in decision-making capacity assessments.
GPs take responsibility for decision-making capacity assessments; however, assessments can be complex. There is a need to develop specific curriculum and training resources for GPs to improve their clinical skills and legal knowledge in decision-making capacity assessments.
评估医疗保健决策能力属于所有医生的实践范围，但全科医生在这方面的经验尚不清楚。
探索新西兰全科医生在进行决策能力评估时的经验、观点、方法和挑战。
采用定性研究设计，对具有便利性的全科医生样本进行了个体深入的半结构化访谈。采访记录逐字转录，并采用主题分析方法进行分析。
共招募了 12 名参与者。出现了以下主题：（一）全科医生在决策能力评估中的角色和责任；（二）全科医生缺乏决策能力评估的正式培训、知识和信心；（三）决策能力评估的法律接口；（四）全科医生与专家的关系及其对决策能力评估信心的影响；以及（五）提高全科医生决策能力评估知识和信心的机会。
全科医生承担决策能力评估的责任；然而，评估可能很复杂。需要为全科医生制定特定的课程和培训资源，以提高他们在决策能力评估方面的临床技能和法律知识。
