Cultural influences on the physician-patient encounter: The case of shared treatment decision-making
Cultural influences on the physician-patient encounter: The case of shared treatment decision-making
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DOI：
10.1016/j.pec.2006.06.018
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发表时间：
2006-11-01
影响因子：
3.5
通讯作者：
O'Brien, Mary Ann
中科院分区：
文献类型：
--
作者：
Charles, Cathy;Gafni, Amiram;O'Brien, Mary Ann
目的：在本文中，我们讨论了文化对治疗决策过程的影响，特别是在医患接触中的共同治疗决策。我们探讨两个关键问题：（1）文化的含义和方式，它可以影响治疗决策;（2）文化问题和假设的发展和使用的治疗决策aids.Methods：这是一个概念性的文件。基于我们对治疗决策领域关键文献的知识和阅读，我们寻找在讨论医患接触和设计工具时考虑文化影响的书面例子（决策辅助工具）来帮助患者参与决策。结果：我们对这一情况的评估是，迄今为止，除了最近的一些例外情况，上述领域的研究没有文化敏感性。我们建议，更多的研究注意力应该集中在探索潜在的文化差异的意义和偏好的共同决策，以及适用性跨文化群体的决策辅助工具，以促进患者参与治疗决策与医生。实践意义：患者和医生都需要了解决策辅助工具的开发和使用背后的文化假设，并评估他们对不同文化群体中患者需求和偏好的文化敏感性。(c)2006爱思唯尔爱尔兰有限公司保留所有权利。
Objective: In this paper we discuss the influence of culture on the process of treatment decision-making, and in particular, shared treatment decision-making in the physician-patient encounter. We explore two key issues: (1) the meaning of culture and the ways that it can affect treatment decision-making; (2) cultural issues and assumptions underlying the development and use of treatment decision aids.Methods: This is a conceptual paper. Based on our knowledge and reading of the key literature in the treatment decision-making field, we looked for written examples where cultural influences were taken into account when discussing the physician-patient encounter and when designing instruments (decision aids) to help patients participate in making decisions.Results: Our assessment of the situation is that to date, and with some recent exceptions, research in the above areas has not been culturally sensitive.Conclusion: We suggest that more research attention should be focused on exploring potential cultural variations in the meaning of and preferences for shared decision-making as well as on the applicability across cultural groups of decision aids developed to facilitate patient participation in treatment decision-making with physicians.Practice implications: Both patients and physicians need to be aware of the cultural assumptions underlying the development and use of decision aids and assess their cultural sensitivity to the needs and preferences of patients in diverse cultural groups. (c) 2006 Elsevier Ireland Ltd. All rights reserved.