Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA; University of Wisconsin Carbone Cancer Center, Madison, WI, USA.
Am J Surg. 2023 Apr;225(4):645-649. doi: 10.1016/j.amjsurg.2022.10.014. Epub 2022 Oct 19.
With the COVID19 pandemic, use of telehealth has expanded rapidly in subspecialties with limited prior telehealth experience. While telehealth offers many opportunities to improve patient convenience, access, and comfort, the virtual platform poses unique challenges for shared decision making. In this review article, we describe what occurs within a standard in-person breast surgery consult and propose a model for an ideal virtual breast surgery consult, including strategies to foster patient engagement and shared decision making. Our model incorporates pre-visit preparation, deliberate pauses, and targeted engagement as ways to encourage patients to integrate information and actively participate in treatment decisions. Intentional strategies such as these must be adopted to improve shared decision making on the virtual platform.
随着 COVID19 大流行，在以前很少有远程医疗经验的亚专业领域，远程医疗的使用迅速扩大。虽然远程医疗为改善患者的便利性、可及性和舒适度提供了许多机会，但虚拟平台给共享决策带来了独特的挑战。在这篇综述文章中，我们描述了标准的门诊乳房手术咨询中发生的情况，并提出了一个理想的虚拟乳房手术咨询模型，包括促进患者参与和共享决策的策略。我们的模型包括就诊前准备、深思熟虑的停顿和有针对性的参与，以鼓励患者整合信息并积极参与治疗决策。必须采用这些有针对性的策略，以提高虚拟平台上的共享决策。
