Minimum standards for the certification of patient decision support interventions: Feasibility and application
Minimum standards for the certification of patient decision support interventions: Feasibility and application
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DOI：
10.1016/j.pec.2014.12.009
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发表时间：
2015-04-01
影响因子：
3.5
通讯作者：
Elwyn, Glyn
中科院分区：
文献类型：
--
作者：
Durand, Marie-Anne;Witt, Jana;Elwyn, Glyn
目的：患者决策支持干预目前不受标准化的质量控制。目前的研究旨在评估适用一套拟议的最低标准的可行性（先前作为可能的认证过程的一部分开发的）到现有患者决策支持干预的选择。从2009年科克伦患者决策辅助系统综述中选择的干预措施的便利样本，由经过培训的评分员使用国际患者决策辅助标准（IPDAS）仪器。分数，然后对公布的建议的最低standards.Results进行评估：二十五的30包括干预措施符合所有资格标准，而只有三个符合拟议的认证标准。为达到拟议的认证标准而进行干预所需的改动相对较小。评分员的平均scores.Conclusions：大多数干预措施不符合认证标准，由于缺乏信息的修改项目，如更新政策和资金source.Practice的影响：病人决策支持干预的最低标准是一个可行的发展。然而，目前尚不清楚最低标准是否可以适用于为在临床接触中使用而设计的干预措施以及针对筛查和诊断测试的干预措施。(C)2015年爱思唯尔爱尔兰盖子。All rights reserved.
Objective: Patient decision support interventions are not currently subject to standardized quality control. The current study aims to assess the feasibility of applying a proposed set of minimum standards (previously developed as part of a possible certification process) to a selection of existing patient decision support interventions.Methods: A convenience sample of interventions selected from those included in the 2009 Cochrane systematic review of patient decision aids was scored by trained raters using the International Patient Decision Aids Standards (IPDAS) instrument. Scores were then evaluated against the published proposed minimum standards.Results: Twenty-five out of thirty included interventions met all qualifying criteria while only three met the proposed certification criteria. The changes required for an intervention to meet the proposed certification standards were relatively minor. There was considerable variation between raters' mean scores.Conclusions: Most interventions did not meet the certification criteria due to lack of information on modifiable items such as update policy and funding source.Practice implications: Specifying minimum standards for patient decision support interventions is a feasible development. However, it remains unclear whether the minimum standards can be applied to interventions designed for use within clinical encounters and to those that target screening and diagnostic tests. (C) 2015 Elsevier Ireland Lid. All rights reserved.