Problems with Numbers in Decision Aids for Prostate-specific Antigen Screening: A Critical Review.
Problems with Numbers in Decision Aids for Prostate-specific Antigen Screening: A Critical Review.
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DOI：
10.1016/j.eururo.2020.11.011
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发表时间：
2021-03
期刊：
影响因子：
23.4
通讯作者：
Hu JC
中科院分区：
文献类型：
--
作者：
Carlsson SV;Vickers AJ;Gonsky JP;Hay JL;Hu JC
专业指南推荐共享决策（SDM），以提高医疗决策的质量。决策辅助工具通常可以促进这一过程，帮助患者了解选择、好处和坏处，并帮助得出价值观和偏好。当利益与危害比对偏好敏感时（如 PSA 筛查），SDM 尤为重要。决策辅助工具通常是使用“完全知情”决策者的框架开发的，这是一种道德立场，即患者应该拥有尽可能多的信息来做出自主决策。 [1]虽然不同的人对医疗决策的信息有不同的要求，但从决策心理学（包括双过程和模糊跟踪理论）中吸取的经验教训强调，过多的信息有时会阻碍而不是促进决策过程。
Shared decision making (SDM) is recommended by professional guidelines to improve the quality of medical decisions. It is often facilitated by decision aids which inform patients about options, benefits and harms, and help elicit values and preferences. SDM is particularly relevant where the benefit-to-harm ratio is preference-sensitive, as with PSA-screening. Decision aids have typically been developed using the framework of the “fully informed” decision-maker, an ethical position that patients should have as much information as possible to make an autonomous decision.[1] While different people have different requirements for information for medical decision making, lessons learned from decision psychology, including dual-process and fuzzy-trace theory, highlight that an excess of information can sometimes impede, rather than promote, the decision making process.
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