Shared decision making: relevant concepts and facilitating strategies.
Shared decision making: relevant concepts and facilitating strategies.
复制标题
DOI：
10.4178/epih.e2017048
复制
发表时间：
2017
影响因子：
3.8
通讯作者：
Bae JM
中科院分区：
文献类型：
--
作者：
Bae JM
随着当今医疗保健的范式是以证据为基础，以患者为中心的决策，共享决策（SDM）的问题突出。这份手稿的目的是研究相关概念，并提出克服开展“可持续发展机制”的障碍的促进战略。虽然SDM的定义不一致，但涉及到几个概念，如良好的沟通，个人自主权，患者参与者和以患者为中心的决策。此外，SDM的促进策略是教育和培训医生，应用临床实践指南和患者决策辅助工具，开发有效的测量工具来评估SDM过程，并调查SDM的影响。
As the paradigm in healthcare nowadays is the evidence-based, patient-centered decision making, the issue of shared decision making (SDM) is highlighted. The aims of this manuscript were to look at the relevant concepts and suggest the facilitating strategies for overcoming barriers of conducting SDM. While the definitions of SDM were discordant, several concepts such as good communication, individual autonomy, patient participants, and patient-centered decision-making were involved. Further, the facilitating strategies of SDM were to educate and train physician, to apply clinical practice guidelines and patient decision aids, to develop valid measurement tools for evaluation of SDM processes, and to investigate the impact of SDM.