患者参与全科医生与慢性疾病患者之间的接触。一项针对2型糖尿病和阻塞性肺疾病的范围综述的结果

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Signe Beck Titlestad, Michael Marcussen, Marie Sandstød Rasmussen, Birgitte Nørgaard
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引用次数: 0

摘要

导言:研究表明,当患者参与管理他们的健康状况并考虑到他们的个人需求时,健康结果会得到改善。目的:本综述旨在从全科医生和患者的角度,对现有的关于慢性疾病患者与全科医生接触的研究进行综述,特别关注2型糖尿病(TD2)或慢性阻塞性肺疾病(COPD)患者。方法:包括任何设计、日期和语言的研究。系统检索于2020年8月至10月进行,检索时间为2021年9月,检索时间为Medline、CINAHL、PsycInfo、Scopus和EMBASE。根据以下研究特征系统地绘制了数据图表:书目目的;研究目标;设置;感兴趣的领域;结果;结论。结果:纳入18项研究;他们采用定性方法、调查方法或混合方法。从患者的角度来看,强调了在会诊期间更多地参与治疗讨论以及友好环境的重要性。良好的关系和关系的连续性使患者更容易参与治疗决策。从全科医生(GP)的角度来看,他们提到他们的高工作量、长期的关系、对患者的了解和对患者的准备是影响他们让患者参与治疗讨论的能力的因素。结论:良好的gp -患者关系是提供和促进COPD或TD2患者参与的重要方面。范围审查注册:https://osf.io/ynqt2。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Patient involvement in the encounter between general practice and patients with a chronic disease. Results of a scoping review focusing on type 2 diabetes and obstructive pulmonary disease.

Patient involvement in the encounter between general practice and patients with a chronic disease. Results of a scoping review focusing on type 2 diabetes and obstructive pulmonary disease.

Introduction: Research has shown improved health outcomes when patients are involved in managing their health conditions and when their individual needs are considered.

Objectives: This scoping review aimed to map the existing research regarding chronic disease patients' involvement in their encounters with general practice, with a specific focus on patients with Type 2 diabetes (TD2) or chronic obstructive pulmonary disease (COPD) and from the perspectives of both general practitioners and patients.

Methods: Studies of any design, date, and language were included. A systematic search was conducted using the following databases: Medline, CINAHL, PsycInfo, Scopus, and EMBASE from August until October 2020 and renewed September 2021. Data were systematically charted by the following study characteristics: bibliographic aims; study aims; setting; area of interest; results; conclusion.

Results: Eighteen studies were included; they conducted qualitative methods, surveys or mixed methods. From the patients' perspectives, the importance of being more involved in treatment discussions during consultations as well as a friendly environment, was underscored. A good relationship and relational continuity make it easier for patients to be more involved in treatment decisions. From the general practitioner (GP) perspectives, they mentioned their high workload, long-standing relationships, knowledge about the patients and prepared patients as factors influencing their ability to involve patients in treatment discussions.

Conclusion: A good GP-patient relationship was considered an important aspect to providing and facilitating for involvement of patients with COPD or TD2. Scoping review registration: https://osf.io/ynqt2.

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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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