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了解患者偏好在风湿性疾病护理差异中的作用和挑战。

Understanding the Role and Challenges of Patient Preferences in Disparities in Rheumatologic Disease Care.

机构信息

University of Arizona Arthritis Center, 1501 North Campbell Avenue, PO Box 245093, Tucson, AZ 85724-5093, USA; Department of Medicine, Division of Rheumatology, University of Arizona, College of Medicine, 1501 North Campbell Avenue, PO Box 245093, Tucson, AZ 85724-5093, USA.

University of Arizona Arthritis Center, 1501 North Campbell Avenue, PO Box 245093, Tucson, AZ 85724-5093, USA; Department of Medicine, Division of Rheumatology, University of Arizona, College of Medicine, 1501 North Campbell Avenue, PO Box 245093, Tucson, AZ 85724-5093, USA.

出版信息

Rheum Dis Clin North Am. 2021 Feb;47(1):83-96. doi: 10.1016/j.rdc.2020.09.003. Epub 2020 Oct 29.

Abstract

Evidence suggests patient preferences, including values and perspectives, have affected clinical outcomes, such as compliance, patient well-being, and satisfaction with care. A literature review was conducted with the purpose of exploring the tools used to elicit patients' treatment preferences and their roles in clinical outcomes. This review revealed racial differences in treatment preferences among patients with rheumatic and musculoskeletal diseases. The use of decision aids is a proactive intervention with potential for reducing race disparities and improving clinical outcomes. The utilization of patient preferences and values can improve outcomes by complementing the shared decision-making approach between patients and rheumatologists.

摘要

有证据表明,患者的偏好,包括价值观和观点,已经影响了临床结果,如依从性、患者的健康状况和对治疗的满意度。进行了一项文献综述,旨在探讨用于引出患者治疗偏好的工具及其在临床结果中的作用。这项综述揭示了风湿和肌肉骨骼疾病患者在治疗偏好方面的种族差异。决策辅助工具的使用是一种积极主动的干预措施,有可能减少种族差异,改善临床结果。利用患者的偏好和价值观可以通过补充患者和风湿病专家之间的共同决策方法来改善结果。

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