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在全科医疗中使用交互式视频向患者介绍治疗选择:一项试点研究。

Using interactive videos in general practice to inform patients about treatment choices: a pilot study.

作者信息

Shepperd S, Coulter A, Farmer A

机构信息

Department of Public Health and Primary Care, University of Oxford, UK.

出版信息

Fam Pract. 1995 Dec;12(4):443-7. doi: 10.1093/fampra/12.4.443.

Abstract

Our objective was to assess the acceptability of using an interactive video system in a general practice setting to inform patients about treatment choices. A descriptive cohort study was carried out in eight general practices in Oxfordshire. Fifty-four patients with mild hypertension and 29 with benign prostatic hypertrophy were studied. Patients' views of the video, treatment preference, level of involvement in treatment decision and satisfaction with decision-making process and GPs' views of the effect of the video on subsequent consultations were measured. Both patients and GPs reported favourable impressions of the interactive video system: 71% of patients said it definitely helped with their treatment decision; GPs said they found the video helpful in 82% of cases. The results of this pilot study were sufficiently encouraging to indicate the need for a randomized controlled trial to evaluate the impact of the video on the doctor-patient relationship, on subsequent treatment decisions and on health outcomes and patients' well-being.

摘要

我们的目标是评估在普通医疗环境中使用交互式视频系统告知患者治疗选择的可接受性。在牛津郡的八个普通医疗诊所开展了一项描述性队列研究。研究了54例轻度高血压患者和29例良性前列腺增生患者。测量了患者对视频的看法、治疗偏好、参与治疗决策的程度、对决策过程的满意度以及全科医生对视频对后续会诊影响的看法。患者和全科医生都对交互式视频系统给予了好评:71%的患者表示它确实有助于他们做出治疗决策;全科医生表示,他们发现该视频在82%的病例中有所帮助。这项初步研究的结果非常鼓舞人心,表明有必要进行一项随机对照试验,以评估该视频对医患关系、后续治疗决策、健康结果和患者福祉的影响。

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