a systematic review and meta-analysis of clinician-directed behavioural nudges
Dr. Malhotra 與其團隊近期於《Age and Ageing》發表了〈Enhancing goals of care discussions: a systematic review and meta-analysis of clinician-directed behavioural nudges〉論文。這項涵蓋51項研究的系統性回顧與統合分析發現,由臨床醫生主導的行為助推措施,能顯著提高重症患者有關 goals-of-care discussions (GOCDs) 的文件記錄率。助推措施使記錄率提升超過三倍,其中多重組合的介入措施效果最為顯著。研究證據亦顯示,溝通品質有所改善,且病人再住院率下降。這些結果表明,成本低且易於推廣的助推措施,有助於克服臨床醫生的實務障礙,並改善預立照護規劃的實踐。查看出版:https://doi.org/10.1093/ageing/afag113