State of the Science: Tools and Measurement for Shared Decision Making
State of the Science: Tools and Measurement for Shared Decision Making
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DOI：
10.1111/acem.13071
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发表时间：
2016-12-01
影响因子：
4.4
通讯作者：
Hess, Erik P.
中科院分区：
文献类型：
--
作者：
Sepucha, Karen R.;Breslin, Maggie;Hess, Erik P.
共享决策（SDM）已被提倡作为一种方法来选择医疗测试和治疗的许多情况。SDM的目标是确保患者充分知情，有意义地参与决策，并接受符合其目标和偏好的治疗。有相当多的证据表明，用于促进SDM的工具，称为患者决策辅助工具，并已制定了许多不同的措施来评估SDM的影响。然而，人们对这些工具和措施在急诊科（艾德）环境中的适用性知之甚少。本文基于2016年学术急诊医学共识会议上发表的两个主题演讲的见解，讨论了SDM测量的科学状态和患者决策辅助工具的设计，以促进SDM对话，并强调了进一步研究的一些关键领域，以促进ED中的SDM。
Shared decision making (SDM) has been advocated as an approach to selecting medical tests and treatments for many situations. The goal of SDM is to ensure that patients are well informed, are meaningfully involved in decisions, and receive treatments that meet their goals and preferences. There is considerable evidence about the tools used to promote SDM, called patient decision aids, and many different measures have been developed to assess the impact of SDM. However, fairly little is known about the applicability of the tools and measures in the emergency department (ED) setting. This article builds on insights from two keynote lectures presented at the 2016 Academic Emergency Medicine Consensus Conference discussing the state of the science for measurement of SDM and the design of patient decision aids to promote SDM conversations and highlights some key areas for further research to advance SDM in the ED. (C) 2016 by the Society for Academic Emergency Medicine