[关于在全科医学中使用家庭会议的建议--范围审查]。

ZFA. Zeitschrift fur Allgemeinmedizin Pub Date : 2022-01-01 Epub Date: 2022-11-01 DOI:10.53180/zfa.2022.0377-0385
Vera Kalitzkus, Paula Steinhoff, Stefan Wilm, Achim Mortsiefer
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摘要

背景:家庭会议是治疗团队、患者、家庭成员和其他相关学科代表就商定的主题举行的预先计划的会议。目前还没有关于全科医学中家庭会议的综述。此次范围界定综述的目的是汇编有关家庭会议在家庭医学和其他医学领域中的使用、实施和记录的现有建议,并将其应用到家庭实践环境中:方法:在 PubMed、Scopus、Google Scholar 和 Cochrane Library 等数据库中进行系统的文献检索。纳入截至 2021 年 12 月 31 日以德语或英语发表的文章。结果:搜索结果产生了 1,557 次点击;在扣除重复内容并审阅摘要后,108 次点击被用于全文审阅。其中 53 篇被纳入综述。关于家庭会议的使用、准备和实施的许多建议都可以应用到家庭管理环境中。为使家庭会议取得成功,建议采用结构化程序,其中包括所有参与者的充分准备、家庭会议本身的多阶段程序以及协议的良好记录和跟进。建议使用经过验证的以患者为中心的沟通模式:尽管目前还没有关于家庭会议程序的有效概念,但可以得出一些实践建议,这些建议应在实践中和研究中得到验证。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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[Recommendations for the Use of Family Conferences in Family Medicine - a Scoping Review].

Background: Family conferences are pre-planned meetings between the treatment team, patient, family members and representatives of other involved disciplines on an agreed topic. There is no review of family conferences in family medicine. The aim of the scoping review is to compile the available recommendations on the use, implementation and documentation of family conferences in family medicine and other medical fields that can be transferred to the family practice setting.

Methods: Systematic literature search in the databases PubMed, Scopus, Google Scholar and Cochrane Library. Articles published in German or English up to 31.12.2021 were included. The fields of family therapy, paediatrics and neonatology were excluded.

Results: The search yielded 1,557 hits; after deducting duplicates and reviewing the abstracts, 108 hits were used for the full-text review. Of these, 53 hits were included in the review. Many recommendations on the use, preparation and implementation of family conferences can be transferred to the FM setting. For successful family conferences, a structured procedure is recommended, which includes good preparation of all participants, a multi-stage procedure during the family conference itself, as well as good documentation and follow-up of the agreements. The use of proven patient-centred communication models is recommended.

Conclusions: Although there are no validated concepts for the procedure of family conferences in the FM setting, practice recommendations can be derived that should be empirically tested in practice and in studies.

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