A program to support shared decision making in an outpatient psychiatric medication clinic
A program to support shared decision making in an outpatient psychiatric medication clinic
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DOI：
10.1176/appi.ps.59.6.603
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发表时间：
2008-06-01
影响因子：
3.8
通讯作者：
Riefer, Melody
中科院分区：
文献类型：
--
作者：
Deegan, Patricia E.;Rapp, Charles;Riefer, Melody
本专栏提出了一种支持精神药理学咨询共同决策的干预措施的初步研究结果。一个城市精神科药物诊所的等候区被改造成一个由同行管理的决策支持中心，该中心采用了一个用户友好的、基于互联网的软件程序，客户可以用它创建一个一页的电脑生成报告，用于药物咨询。从2006年10月到2007年9月，来自年轻人和一般成年人案例管理团队的189个独立用户使用决策支持中心662次。所有的病人都有严重的精神障碍。在试点研究期间，只有10名客户拒绝使用干预措施。由医务人员（N= 4）、客户（N= 16）、病例管理人员（N= 14）和同行专家工作人员（N= 3）组成的焦点小组报告说，干预有助于提高咨询效率，并使客户能够更多地参与与治疗有关的决策。一项随机对照试验目前正在进行中。
This column presents preliminary findings of an intervention to support shared decision making in psychopharmacology consultation. The waiting area in an urban psychiatric medication clinic was transformed into a peer-run Decision Support Center featuring a user-friendly, Internet-based software program with which clients could create a one-page computer-generated report for use in the medication consultation. The Decision Support Center was used 662 times by 189 unique users from a young-adult and general adult case management team from October 2006 to September 2007. All clients had severe mental disorders. Only ten clients refused to use the intervention at some point during the pilot study. Focus groups with medical staff (N= 4), clients (N= 16), case managers (N= 14), and peer-specialist staff (N= 3) reported that the intervention helped to create efficiencies in the consultation and empower clients to become more involved in treatment-related decision making. A randomized controlled trial is currently in process.