METHODS: Implementation and participation rates and patients\' BCS-PtDA use were calculated using hospital registry data and BCS-PtDA log data. HCPs\' perspective on facilitators and barriers were collected using the MIDI framework. Observed SDM levels in consultation transcripts were quantified using the OPTION-5 scale. Thematic analysis was performed to assess consultation content.
RESULTS: The average PtDA implementation and participation rates were, respectively, 26% and 61%. HCPs reported that the PtDA supported choice awareness. Reported barriers for implementation were mainly increased workload and a lack of perceived benefits. The consultation analysis (n = 64) showed patients were offered a choice, but deliberation was lacking. Risk communication was generally adequate.
CONCLUSIONS: When the BCS-PtDA was used, patients were clearly given a choice regarding their post-treatment surveillance, but information provision and SDM application can be improved.
方法:使用医院注册数据和BCS-PtDA日志数据计算实施和参与率以及患者的BCS-PtDA使用情况。使用MIDI框架收集了HCP对促进者和障碍的看法。使用OPTION-5量表量化咨询转录物中观察到的SDM水平。进行主题分析以评估咨询内容。
结果:PtDA的平均执行率和参与率为,分别,26%和61%。HCP报告说,PtDA支持选择意识。报告的执行障碍主要是工作量增加和缺乏感知的好处。咨询分析(n=64)显示,患者获得了选择,但是缺乏深思熟虑。风险沟通通常是足够的。
结论:当使用BCS-PtDA时,患者显然可以选择治疗后的监测,但是可以改进信息提供和SDM应用。