基于社会选择理论的妊娠期糖尿病非药物管理患者指南健康问题清单的构建

Identification of health questions based on social choice theory for patient version guideline on non-pharmacological management of gestational diabetes mellitus

目的基于社会选择理论构建妊娠期糖尿病非药物管理患者指南所涵盖的健康问题。方法通过文献分析和个人深度访谈收集健康问题并拟定问题清单;基于社会选择理论,采用问卷调查由患者对健康问题的重要性进行评分,通过Copeland社会选择函数选出健康问题。结果最终纳入163篇文献,共提取37个与妊娠期糖尿病非药物管理相关的问题。经过对26例妊娠期糖尿病孕妇和12名专业人员的访谈,提炼出29个健康问题形成问题清单。根据Copeland评价值对问题进行排序,遴选出20个健康问题作为本患者指南优先解决的问题。结论基于社会选择理论,通过文献分析、个人深度访谈及问卷调查,采用Copeland函数确定了妊娠期糖尿病非药物管理患者指南所需纳入的健康问题,为后续患者指南的制订奠定了基础。

Objective To identify the questions based on social choice theory addressed by patient version guideline on non-pharmacological management of gestational diabetes mellitus(GDM).Methods A list of health questions was drafted through literature analysis and individual in-depth interview.Guided by social choice theory,importance of the health questions were scored by patients through a questionnaire survey.Then the Copeland social choice function was used to select a dozen health questions.Results A total of 163 publications were included,and a total of 37 questions related to non-pharmaceutical management of GDM were drafted.A list of 29 questions were identified through interviews with 26 GDM pregnant women and 12 professionals.All the questions were ranked according to the Copeland evaluation value,and finally,20 questions were selected as the priority to be answered in the patient version guideline.Conclusion Based on social choice theory,as well as literature analysis and individual in-depth interview,the health questions prioritized to be answered in patient version guideline on non-pharmacological management of GDM,can be identified from the Copeland function.