An integrative model of shared decision making in medical encounters
An integrative model of shared decision making in medical encounters
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DOI：
10.1016/j.pec.2005.06.010
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发表时间：
2006-03-01
影响因子：
3.5
通讯作者：
Clayman, ML
中科院分区：
文献类型：
--
作者：
Makoul, G;Clayman, ML
目的：鉴于术语“共享决策”（SDM）在教学、评估和研究中的流动性，我们对专门讨论SDM的文章进行了集中和系统的回顾，以确定概念定义的范围。方法：2005年4月，我们进行了PubMed（Medline）检索，以确定在2003年12月31日之前发表的标题或摘要中含有“共同决策”字样的文章。检索产生了681篇引文，其中342篇是关于SDM在医患接触的背景下，以英语发表的。我们阅读并回顾了所有342篇文章的全文，并得到了任何非冗余的参考SDM，这产生了额外的76 article.Results：在418篇文章检查，161（38.5%）有一个概念定义SDM。我们确定了31个单独的概念，用于解释SDM，但只有“病人的价值观/偏好”（67.1%）和“选项”（50.9%）出现在一半以上的161个定义。相对较少的文章明确承认和集成以前的working.Conclusion：我们的审查表明，没有共享的定义SDM。我们提出了一个定义，整合了现存的文献基础和概述的基本要素，必须是目前的病人和供应商从事的过程中SDM.Practice的影响：SDM的综合定义的目的是提供一个有用的基础，描述和操作SDM在进一步的研究。(c)2005爱思唯尔爱尔兰有限公司保留所有权利。
Objective: Given the fluidity with which the term shared decision making (SDM) is used in teaching, assessment and research, we conducted a focused and systematic review of articles that specifically address SDM to determine the range of conceptual definitions.Methods: In April 2005, we ran a Pubmed (Medline) search to identify articles published through 31 December 2003 with the words shared decision making in the title or abstract. The search yielded 681 citations, 342 of which were about SDM in the context of physician-patient encounters and published in English. We read and reviewed the full text of all 342 articles, and got any non-redundant references to SDM, which yielded an additional 76 articles.Results: Of the 418 articles examined, 161 (38.5%) had a conceptual definition of SDM. We identified 31 separate concepts used to explicate SDM, but only "patient values/preferences" (67.1%) and "options" (50.9%) appeared in more than half the 161 definitions. Relatively few articles explicitly recognized and integrated previous work.Conclusion: Our review reveals that there is no shared definition of SDM. We propose a definition that integrates the extant literature base and Outlines essential elements that must be present for patients and providers to engage in the process of SDM.Practice implications: The integrative definition of SDM is intended to provide a useful foundation for describing and operationalizing SDM in further research. (c) 2005 Elsevier Ireland Ltd. All rights reserved.