Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: How to integrate individual patient values and preferences in clinical practice guidelines? A research protocol | van der Weijden et al. Implementation Science 2010 5 10 http content 5 1 10 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access How to integrate individual patient values and preferences in clinical practice guidelines A research protocol I u- I I -J I ỉ w A I I I U . 1c K S r f I A z t o r 1 fl 3 I l z c Dll r r 4 I_I Í-I -X ri r-i r-i y-i r-i y-i s s I4 Trudy van der vveijden France Legare Antoine Boivin jaKQ S Burgers raske van veenenoaai Anne M Stiggelbout5 Marjan Faber3 Glyn Elwyn6 Abstract Background Clinical practice guidelines are largely conceived as tools that will inform health professionals decisions rather than foster patient involvement in decision making. The time now seems right to adapt clinical practice guidelines in such a way that both the professional s perspective as care provider and the patients preferences and characteristics are being weighed equally in the decision-making process. We hypothesise that clinical practice guidelines can be adapted to facilitate the integration of individual patients preferences in clinical decision making. This research protocol asks two questions How should clinical practice guidelines be adapted to elicit patient preferences and to support shared decision making What type of clinical decisions are perceived as most requiring consideration of individual patients preferences rather than promoting a single best choice Methods Stakeholders opinions and ideas will be explored through an 18-month qualitative study. Data will be collected from in-depth individual interviews. A purposive sample of 20 to 25 key-informants will be selected among three groups of stakeholders health professionals using guidelines . physicians nurses experts at the macro- and meso-level including guideline and decision aids developers policy makers and researchers and patient representatives. Ideas and recommendations expressed by stakeholders will be prioritized by nominal group .
