PHYSICIAN/PATIENT PREFERENCES IN HYSTERECTOMY

此小额赠款计划申请的目的是支持 乔治安德森成果衡量股的一个项目， 医生和患者在子宫切除术中的偏好。 该项目有两 这些组件将专注于帮助消费者（患者） 关于子宫切除术的知情选择， 帮助临床医生决定什么在临床实践中最有效。 本建议的具体目标是：（1）确定因素 有助于临床医生做出关于外科手术的决策， 通过医生焦点小组进行子宫切除术。(2)确定 患者需求、偏好、可用性和使用的贡献 患者决策过程中的医疗保健信息， 子宫切除术 这些因素和患者对他们的满意度 决定将通过两组焦点小组进行审查， （1）有子宫切除风险的女性， 子宫切除术2.）的情况。经历过一次 在过去的12个月内进行过子宫切除术 这次试点观测 这些信息将作为初步数据和可行性研究 进行一项更大的前瞻性研究，以评估各种手术 子宫切除术的方法（即腹部、阴道或腹腔镜）。 最终的目标是确定哪种方法的结果更好 短期和长期结果，包括功能状态、质量 患者满意度和生活满意度。

The purpose of this Small Grant Program application is to support a project of the George Anderson Outcomes Measurement Unit to study physician and patient preferences in hysterectomy. The project has two components which will focus on helping consumers (patients) make more informed choices regarding the decision to have a hysterectomy and assisting clinicians to decide what works best in clinical practice. The specific aims of this proposal are to: (1) Identify the factors contributing to clinicians' decision making regarding the surgical approaches to hysterectomy via physician focus groups. (2) Determine the contribution of patient needs, preferences, availability, and use of health care information in the patient decision making process for hysterectomy. These factors and patient's satisfaction with their decision will be examined through two sets of focus groups consisting of 1.) Women at risk for hysterectomy who have discussed the possibility of hysterectomy with their physician. 2.) Women who have undergone a hysterectomy within the past twelve months. This pilot observational information will serve as preliminary data and as a feasibility study for a larger prospective study to evaluate the various surgical approaches to hysterectomy (i.e. abdominal, vaginal, or laparoscopic). The eventual goal is to determine which approach results in better short-term and long-term outcomes including functional status, quality of life, and patient satisfaction.