AUA White Paper on Implementation of Shared Decision Making into Urological Practice.

AUA White Paper on Implementation of Shared Decision Making into Urological Practice.
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DOI:
10.1016/j.urpr.2015.10.006
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发表时间:
2016-09-01
期刊:
影响因子:
0.8
通讯作者:
Fagerlin, Angela
Fagerlin, Angela
中科院分区:
其他
文献类型:
--
作者:
Makarov, Danil V;Chrouser, Kristin;Fagerlin, Angela

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简介:共享决策是一种协作的方法来照顾,旨在提高医疗决策的质量,帮助患者选择与他们的价值观一致的选项,并按照现有的最佳科学evidence.METHODS:文献综述进行针对性的出版物在2003年和2014年之间的主题共享决策和决策辅助泌尿系统疾病。一个专家小组被召集来评估这些信息,并创建这个白色文件的目的是教育泌尿外科社区对这些issues.Results:共享决策代表了最先进的病人咨询。参与共同决策的患者有更高的知识和满意度,以及更大的参与护理。许多组织提供免费的资源,包括决策援助和工具,以评估质量的共享decisionmaking.CONCLUSIONS:共享决策是高质量的医疗保健服务和未来的报销模式的一个重要组成部分。在适当的情况下,泌尿科医生应在常规临床实践中采用共同决策。
INTRODUCTION: Shared decision making is a collaborative approach to care that seeks to improve the quality of medical decisions by helping patients choose options concordant with their values and in accordance with the best available scientific evidence.METHODS: A literature review was performed targeting publications between 2003 and 2014 on the topic of shared decision making and decision aids for urological conditions. An expert panel was convened to evaluate this information and create this white paper with the purpose of educating the urological community on these issues.RESULTS: Shared decision making represents the state of the art in patient counseling. Patients who have engaged in shared decision making have greater knowledge and satisfaction as well as greater engagement with care. Numerous organizations make available free resources for shared decision making including decision aids and tools to evaluate the quality of shared decision making.CONCLUSIONS: Shared decision making is an important component of high quality health care delivery and future reimbursement models. In appropriate circumstances urologists should adopt shared decision making into routine clinical practice.