How to communicate evidence to patients.

How to communicate evidence to patients.
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DOI:
10.1136/dtb.2019.000008
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发表时间:
2019-08-01
影响因子:
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通讯作者:
Freeman, Alexandra L J
Freeman, Alexandra L J
中科院分区:
其他
文献类型:
--
作者:
Freeman, Alexandra L J

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所有的医学治疗都有潜在的危害和好处,至关重要的是,每个人都有一个很好的了解这些可能是什么,它们可能有多大的戏剧性和多大的可能性。事实上,在英国,2015年最高法院的蒙哥马利判决(见专栏1)规定,向患者提供所有合理治疗方案(包括不提供任何合理治疗方案)的可理解的、与个人相关的信息,在法律上是必要的。那么,我们应该如何保证相关证据的良好、清晰的沟通呢?因此,本文回顾了医生如何最好地传达证据,以便患者能够根据这些证据做出明智的决定,正如蒙哥马利判决所要求的那样。乍一看,这似乎应该是一个相对简单的问题,但有几个大的潜在问题。
Introduction all medical treatments have potential harms as well as benefits, and it is vital that everyone has a good understanding of what these might be, how dramatic they might be and how likely. in fact, in the uK, the Montgomery judgement in the supreme court in 2015 (see Box 1) has made it a legal necessity for patients to be given comprehensible, personally relevant information about all reasonable treatment options, including none. 1 so, how should we ensure good, clear communication of relevant evidence? This article therefore reviews what is known about how doctors can best communicate evidence so that patients can make informed decisions based on them, as the Montgomery Judgement demands. At first glance, it might seem that this should be a relatively simple question to answer, but there are a couple of big underlying problems.