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共同决策:9项共同决策问卷无法区分外科医生。

Shared Decision Making: The 9-Item Shared Decision Making Questionnaire Does Not Discriminate Between Surgeons.

作者信息

Reese Alyssa, Wanstreet Tyler, Callaham Sarah, Carr Michele M

机构信息

Otolaryngology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, USA.

Medicine, West Virginia University School of Medicine, Morgantown, USA.

出版信息

Cureus. 2021 Apr 3;13(4):e14274. doi: 10.7759/cureus.14274.

Abstract

Purpose To determine if shared decision making (SDM) scores vary between individual otolaryngologists in a large specialty clinic.  Methods Consecutive patients that consented to surgery were surveyed using the 9-item Shared Decision Making Questionnaire (SDM-Q-9), a validated scale for SDM. Demographic details included the respondent's age, gender, education level, marital status, whether the consent was for themselves or their child, whether surgery was for malignancy, and surgery being performed. Scores were evaluated for all demographic variables, as well as individual surgeons, surgeons' gender, age category, and subspecialty. Results A total of 233 patients completed the surveys. No significant differences were found among individual and total scores for SDM when compared among or between patient demographics (p > 0.05). A total of 10 surgeons for whom five or more SDM-Q-9s were completed were included in the study. No significant difference was found when SDM was evaluated for surgeon characteristics as well (p > 0.05).  Conclusion SDM scores do not vary between these otolaryngologists.

摘要

目的 确定在一家大型专科诊所中,个体耳鼻喉科医生之间的共同决策(SDM)得分是否存在差异。方法 使用9项共同决策问卷(SDM-Q-9)对连续同意手术的患者进行调查,这是一种经过验证的SDM量表。人口统计学细节包括受访者的年龄、性别、教育水平、婚姻状况、同意是为自己还是为孩子、手术是否针对恶性肿瘤以及正在进行的手术。对所有人口统计学变量以及个体外科医生、外科医生的性别、年龄类别和亚专业的得分进行评估。结果 共有233名患者完成了调查。在患者人口统计学之间或之中比较时,SDM的个体得分和总分之间未发现显著差异(p>0.05)。共有10名完成了5份或更多SDM-Q-9问卷的外科医生纳入研究。对外科医生特征评估SDM时也未发现显著差异(p>0.05)。结论 这些耳鼻喉科医生之间的SDM得分没有差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0322/8093118/104024a8e8db/cureus-0013-00000014274-i01.jpg

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