PDF(Pubmed)
Abstract：
UNASSIGNED: To compare three methods for identifying patient preferences (MIPPs) at the point of decision-making: analysis of video-recorded patient-clinician encounters, post-encounter interviews, and post-encounter surveys.
UNASSIGNED: For the decision of whether to use a spinal cord stimulator device (SCS), a video coding scheme, interview guide, and patient survey were iteratively developed with 30 SCS decision-making encounters in a tertiary academic medical center pain clinic. Burke\'s grammar of motives was used to classify the attributed source or justification for a potential preference for each preference block. To compare the MIPPs, 13 patients\' encounters with their clinician were video recorded and subsequently analyzed by 4 coders using the final video coding scheme. Six of these patients were interviewed, and 7 surveyed, immediately following their encounters.
UNASSIGNED: For videos, an average of 66 (range 33-106) sets of utterances potentially indicating a patient preference (a preference block), surveys 33 (range 32-34), and interviews 25 (range 18-30) were identified. Thirty-eight unique themes (75 subthemes), each a preference topic, were identified from videos, surveys 19 themes (12 subthemes), and interviews 39 themes (54 subthemes). The proportion of preference blocks that were judged as expressing a preference that was clearly important to the patient or affected their decision was highest for interviews (72.8%), surveys (68.0%), and videos (27.0%). Videos mostly attributed preferences to the patient\'s situation (scene) (65%); interviews, the act of receiving or living with SCS (43%); surveys, the purpose of SCS (40%).
UNASSIGNED: MIPPs vary in the type of preferences identified and the clarity of expressed preferences in their data sets. The choice of which MIPP to use depends on projects\' goals and resources, recognizing that the choice of MIPP may affect which preferences are found.
UNASSIGNED: For the decision of whether to use a spinal cord stimulator device (SCS), a video coding scheme, interview guide, and patient survey were iteratively developed with 30 SCS decision-making encounters in a tertiary academic medical center pain clinic. Burke\'s grammar of motives was used to classify the attributed source or justification for a potential preference for each preference block. To compare the MIPPs, 13 patients\' encounters with their clinician were video recorded and subsequently analyzed by 4 coders using the final video coding scheme. Six of these patients were interviewed, and 7 surveyed, immediately following their encounters.
UNASSIGNED: For videos, an average of 66 (range 33-106) sets of utterances potentially indicating a patient preference (a preference block), surveys 33 (range 32-34), and interviews 25 (range 18-30) were identified. Thirty-eight unique themes (75 subthemes), each a preference topic, were identified from videos, surveys 19 themes (12 subthemes), and interviews 39 themes (54 subthemes). The proportion of preference blocks that were judged as expressing a preference that was clearly important to the patient or affected their decision was highest for interviews (72.8%), surveys (68.0%), and videos (27.0%). Videos mostly attributed preferences to the patient\'s situation (scene) (65%); interviews, the act of receiving or living with SCS (43%); surveys, the purpose of SCS (40%).
UNASSIGNED: MIPPs vary in the type of preferences identified and the clarity of expressed preferences in their data sets. The choice of which MIPP to use depends on projects\' goals and resources, recognizing that the choice of MIPP may affect which preferences are found.
摘要：
■比较在决策时识别患者偏好（MIPP）的三种方法：分析视频记录的患者-临床医生的遭遇，相遇后的采访，和相遇后的调查。
■对于是否使用脊髓刺激器设备（SCS）的决定，视频编码方案，面试指南,在三级学术医疗中心疼痛诊所中，通过30次SCS决策相遇，迭代地开展了患者调查。伯克的动机语法用于对每个偏好块的潜在偏好的归因来源或理由进行分类。为了比较MIPP，对13名与临床医生相遇的患者进行视频记录，随后由4名编码器使用最终视频编码方案进行分析。这些患者中有6人接受了采访，调查了7人，紧接着他们的相遇。
■对于视频，平均66（范围33-106）组的话语可能表明患者的偏好（偏好块），调查33(范围32-34)，和访谈25（范围18-30）被确定。38个独特主题(75个次主题)，每个偏好主题，是从视频中识别出来的，调查19个主题(12个次主题)，并采访39个主题（54个次主题）。被判断为表达对患者明显重要或影响其决定的偏好的偏好块的比例在访谈中最高（72.8％）。调查(68.0%)，和视频（27.0%）。视频主要将偏好归因于患者的情况(场景)(65%)；访谈，接受或与南海生活在一起的行为(43%)；调查，SCS的目的(40%)。
■MIPP在所识别的偏好类型和其数据集中表达的偏好的清晰度方面有所不同。选择使用哪个MIPP取决于项目的目标和资源，认识到MIPP的选择可能会影响找到哪些偏好。
■对于是否使用脊髓刺激器设备（SCS）的决定，视频编码方案，面试指南,在三级学术医疗中心疼痛诊所中，通过30次SCS决策相遇，迭代地开展了患者调查。伯克的动机语法用于对每个偏好块的潜在偏好的归因来源或理由进行分类。为了比较MIPP，对13名与临床医生相遇的患者进行视频记录，随后由4名编码器使用最终视频编码方案进行分析。这些患者中有6人接受了采访，调查了7人，紧接着他们的相遇。
■对于视频，平均66（范围33-106）组的话语可能表明患者的偏好（偏好块），调查33(范围32-34)，和访谈25（范围18-30）被确定。38个独特主题(75个次主题)，每个偏好主题，是从视频中识别出来的，调查19个主题(12个次主题)，并采访39个主题（54个次主题）。被判断为表达对患者明显重要或影响其决定的偏好的偏好块的比例在访谈中最高（72.8％）。调查(68.0%)，和视频（27.0%）。视频主要将偏好归因于患者的情况(场景)(65%)；访谈，接受或与南海生活在一起的行为(43%)；调查，SCS的目的(40%)。
■MIPP在所识别的偏好类型和其数据集中表达的偏好的清晰度方面有所不同。选择使用哪个MIPP取决于项目的目标和资源，认识到MIPP的选择可能会影响找到哪些偏好。
