Training physicians in shared decision-making-Who can be reached and what is achieved?
Training physicians in shared decision-making-Who can be reached and what is achieved?
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DOI：
10.1016/j.pec.2009.03.019
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发表时间：
2009-10-01
影响因子：
3.5
通讯作者：
Loh, Andreas
中科院分区：
文献类型：
--
作者：
Bieber, Christiane;Nicolai, Jennifer;Loh, Andreas
目的：报告的经验与一般共享决策（SDM）医生培训计划提供给医生在整个德国。方法：本研究招募了150名医生在8小时SDM培训计划。医生在培训前后用标准化工具进行评估。感兴趣的主要变量是医生的专业属性，个性特征，态度，培训成功的措施（质量评级、知识、能力评级）以及与培训成功相关的变量。SDM培训获得了积极的质量评级，导致了客观SDM知识测试的改善（p <0.001），并大大提高了医生对其SDM能力的信心（p < 0.001）。它吸引了经验丰富的中年（45岁）男性和女性（46%）医生，主要是办公室（2/3）全科医生和内科医生（2/3）。大多数医生（94%）报告积极的态度SDM。他们的安全依恋（63%）与主要的社会职业选择动机（46%）。与SDM的概念冲突的个性特征的医生受益最多的training.Conclusion：一个自愿的SDM培训计划是有吸引力的执业医师和有效的增加SDM相关的信心和knowledge.Practice的影响：即使是医生谁是高度积极地使用SDM可以提高他们的技能，并受益于SDM培训。应鼓励传播可持续发展机制培训方案。(C)2009爱思唯尔爱尔兰有限公司保留所有权利。
Objective: To report on experiences with a general shared decision-making (SDM) physician training program offered to physicians throughout Germany.Methods: This study enrolled 150 physicians in an 8-h SDM training program. Physicians were assessed with standardized instruments before and after training. Main variables of interest were physician professional attributes, personality characteristics, attitudes, measures of training success (quality rating, knowledge, competency ratings), and variables associated with training success.Results: The SDM training obtained positive quality ratings, led to an amelioration in an objective SDM knowledge test (p < .001), and highly improved physicians' confidence in their SDM competencies (p, < 0.001). It attracted experienced, middle-aged (45 years), male and female (46%) physicians, mostly office-based (2/3) general practitioners and internists (2/3). Most physicians (94%) reported positive attitudes towards SDM. They were securely attached (63%) with predominant social career choice motives (46%). Physicians with personality characteristics clashing with the SDM concept benefited mostly from the training.Conclusion: A voluntary SDM training program is attractive to practicing physicians and effective in increasing SDM-related confidence and knowledge.Practice implications: Even physicians who are highly motivated to use SDM can improve their skills and benefit from SDM training. The dissemination of SDM training programs should be encouraged. (C) 2009 Elsevier Ireland Ltd. All rights reserved.