LAY PARTICIPATION IN HEALTH-CARE DECISION-MAKING - A CONCEPTUAL-FRAMEWORK
LAY PARTICIPATION IN HEALTH-CARE DECISION-MAKING - A CONCEPTUAL-FRAMEWORK
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DOI：
10.1215/03616878-18-4-881
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发表时间：
1993-12-01
影响因子：
4.2
通讯作者：
DEMAIO, S
中科院分区：
文献类型：
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作者：
CHARLES, C;DEMAIO, S
在加拿大，非专业人员参与保健决策引起了越来越多的兴趣，许多省政府报告都提倡这一倡议。兴趣源于许多因素。其中之一是越来越多的人认识到，患者的偏好应该纳入到涉及个人治疗选择的决策中。另一个因素是希望加强对保健资源分配决定的公共问责制，以便使提供者对其所服务的社区更加负责。然而，对于非专业人士参与的真正含义，仍然存在相当大的困惑。此外，很少考虑非专业人士的参与是否以及如何能导致更好的决策，以及判断决策的标准。本文提出了一个基于决策领域、角色视角和参与水平的框架，旨在为非专业人员参与医疗保健决策的关键维度和目标提供更清晰的概念迈出第一步。
Lay participation in health care decision making has attracted increasing interest in Canada, with numerous provincial government reports advocating this initiative. Interest stems from a number of factors. Among them is a growing recognition that patient preferences ought to be incorporated into decision making that involves individual treatment choices. Another factor is the desire to increase public accountability for decisions on the allocation of health care resources, in order to make providers more accountable to the communities they serve. There is, however, still considerable confusion over what lay participation really means. In addition, little consideration has been given to whether and how lay participation can lead to better decision making and the criteria by which it should be judged. This article presents a framework based on decision-making domains, role perspectives, and levels of participation and is intended as an initial step toward providing greater conceptual clarity regarding the key dimensions and goals of lay participation in health care decision making.