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Pr.fer.nces and attitudes of young Chinese clinicians about using a shar.d decision making tools for.communicating car.iovascular.r.sk

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Chr.nic Diseases and Tr.nslational Medicine 2019年第2期5卷 105-112页

作者： r.ng-Chong Huang Xian-Tao Song Dong-Feng Zhang Jia-Ying Xu kasey r. boehmer Aar.n A. Leppin Michael r. Gionfr.ddo Henr. H. Ting Victor.M. Montor. Depar.ment of Car.iology The First Affiliated Hospital of Dalian Medical University Dalian Liaoning 116011 China Depar.ment of Car.iology Beijing Anzhen Hospital Capital Medical University Beijing 100029 China Knowledge and Evaluation r.sear.h Unit Mayo Clinic Rochester MN 55902 USA Mayo Gr.duate School Mayo Clinic Rochester MN 55902 USA Division of Car.iology Mayo Clinic Jacksonville FL 32224 USA Division of Endocr.nology Mayo Clinic Rochester MN 55902 USA

Objective: This study assesses the attitudes and pr.fer.nces of Chinese clinicians towar. their.involvement in shar.d decision making (SDM). Methods: Fr.m May 2014 to May 2015, 200 Chinese clinicians fr.m two hospitals wer. enr.lled to complete a sur.ey on their.attitude towar.s SDM. We conducted the sur.ey via face-to-face inter.iews befor. and after.an educational inter.ention on SDM among young Chinese clinicians. The clinicians wer. asked to give the extent of agr.ement to SDM. They also gave the extent of difficulty in using decision aids (DAs) dur.ng the SDM pr.cess. The var.ation in the r.nge of r.sponses to each question befor. and after.the SDM inter.ention was r.cor.ed. The fr.quency of changed r.sponses was analyzed by using JMP 6.0 softwar.. Data wer. statistically analyzed using Chi-squar. and Mann—Whitney U tests, as appr.pr.ate to the data type. Multiple logistic r.gr.ssions wer. used to test for.those factor. significantly and independently associated with pr.fer.nce for.an appr.ach for.each scenar.o. r.sults: Of the 200 young Chinese clinicians sampled, 59.0% indicated a pr.fer.nce for.SDM and a desir. to par.icipate in SDM befor. r.ceiving education or.seeing the DA, and this number.incr.ased to 69.0% after.seeing the DA with the sample video of the SDM pr.cess on Statin Choice. However. 28.5% of the r.spondents still r.por.ed that, in their.cur.ent pr.ctice, they make clinical decisions on behalf of their.patients. The clinicians who denied a desir. to use the DA stated that the main bar.ier. to implement SDM or.DA use in China ar. lack of time and knowledge of SDM.

关键词： Decision aid Shar.d-decision making Car.iovascular r.sk China

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Assessing the feasibility and quality of shar.d decision making in China:evaluating a clinical encounter.inter.ention for.Chinese patients

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中国循环杂志 2016年第Z1期31卷 -页

作者： r.ngchong Huang Xiantao Song Jian Wu Wei Huang Leppin Aar.n Michael r.Gionfr.ddo Yongxian Liu Dongfeng Zhang Huaiyu Ding boehmer kasey Yafei Lv Shuting Li Qi Li Baolin Wu Na Xu Ting Henr. Montor. Victor The Fir.t Af iliated Hospitalof Dalian Medical Univer.ity Dalian China Beijing An Zhen Hospital Capital Medical University Beijing China Mayo Clinic USA New Yor.-Pr.sbyter.an Hospitaland Healthcar. System The University Hospitalfor Columbia and Cornel USA

Objective To evaluate the feasibility of using the Statin Choice Decision Aid to discuss star.ing a statin medication for.car.iovascular.r.sk r.duction in Chinese patients[第一段]

关键词：降低风险行为决策授精人工(非丈夫供体) 亚洲大陆世系人群中国

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