Shared decision making in routine clinical care of patients with rheumatoid arthritis: an assessment of audio-recorded consultations
Shared decision making in routine clinical care of patients with rheumatoid arthritis: an assessment of audio-recorded consultations
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DOI：
10.1136/annrheumdis-2019-216137
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发表时间：
2020-02-01
影响因子：
27.4
通讯作者：
van den Bemt, Bart J. F.
中科院分区：
文献类型：
--
作者：
Mathijssen, Elke G. E.;Vriezekolk, Johanna E.;van den Bemt, Bart J. F.
虽然共同决策（shared decision making， SDM）在类风湿关节炎（RA）治疗中得到提倡，但SDM在类风湿关节炎（RA）患者的常规临床护理中何时、如何以及在多大程度上应用尚不清楚。本研究旨在从观察者的角度探讨类风湿关节炎治疗中SDM水平的变化，并评估SDM水平与临床医生、患者和会诊者特征之间的关系。方法采用观察患者参与（OPTION）量表（0-100分，OPTION得分越高，SDM水平越高）对168例特殊患者的常规会诊录音进行评分，调查SDM水平。SDM水平与临床医生、患者和会诊特征之间的关联使用多层模型进行评估。统计学意义设为p
Objectives Although shared decision making (SDM) is advocated in rheumatoid arthritis (RA) treatment, it is largely unclear when, how and to what extent SDM is applied in routine clinical care of patients with RA. This study aimed to investigate the level of SDM in RA treatment from an observer perspective and to assess associations between the level of SDM and characteristics of the clinician, patient and consultation.Methods The level of SDM was investigated by scoring audio--recordings of 168 routine consultations with unique patients with the observer patient involvement (OPTION) scale (scale 0-100, higher OPTION scores indicating higher levels of SDM). Associations between the level of SDM and characteristics of the clinician, patient and consultation were assessed using multilevel modelling. Statistical significance was set at p