Ten Years, Forty Decision Aids, And Thousands Of Patient Uses: Shared Decision Making At Massachusetts General Hospital
Ten Years, Forty Decision Aids, And Thousands Of Patient Uses: Shared Decision Making At Massachusetts General Hospital
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DOI：
10.1377/hlthaff.2015.1376
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发表时间：
2016-04-01
期刊：
影响因子：
9.7
通讯作者：
Chaguturu, Sreekanth K.
中科院分区：
文献类型：
--
作者：
Sepucha, Karen R.;Simmons, Leigh H.;Chaguturu, Sreekanth K.
共同决策是旨在提高患者参与度的人口健康战略的核心组成部分。马萨诸塞州总医院将共享决策整合到实践中的重点是以下三个要素：发展一种接受共享决策对话的文化，以及医疗保健提供者熟练掌握共享决策对话;使用患者决策辅助工具帮助告知和吸引患者;以及提供基础设施和资源，以支持在实践中实施共享决策。在2005年至2015年期间，900多名临床医生和其他工作人员接受了共同决策的培训，大约40个患者决策辅助工具中的一个的订单超过28，000个，以支持以患者为中心的知情决策。我们介绍了两种不同的实施举措，增加了使用病人的决策辅助在医院的18个成人初级保健的做法，我们总结了共享决策程序的关键要素。
Shared decision making is a core component of population health strategies aimed at improving patient engagement. Massachusetts General Hospital's integration of shared decision making into practice has focused on the following three elements: developing a culture receptive to, and health care providers skilled in, shared decision making conversations; using patient decision aids to help inform and engage patients; and providing infrastructure and resources to support the implementation of shared decision making in practice. In the period 2005-15, more than 900 clinicians and other staff members were trained in shared decision making, and more than 28,000 orders for one of about forty patient decision aids were placed to support informed patient-centered decisions. We profile two different implementation initiatives that increased the use of patient decision aids at the hospital's eighteen adult primary care practices, and we summarize key elements of the shared decision making program.