What Is Shared Decision Making? (and What It Is Not)
What Is Shared Decision Making? (and What It Is Not)
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DOI：
10.1111/acem.13065
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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：
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作者：
Kunneman, Marleen;Montori, Victor M.;Hess, Erik P.
医疗实践和患者对护理的期望都在发生变化。一个汇合点是需要医学更加以病人为中心，需要病人更多地参与他们的护理。1，2当有不止一种合理的方法可用于管理患者的情况时，以及当这些方法对患者的影响方式不同时，这种融合尤其相关。3在共同决策（SDM）中，临床医生和患者共同了解患者的情况，并确定如何最好地解决问题。急诊医学也不能幸免于这些趋势。在本文中，我们试图定义SDM及其在当代医疗保健中的作用。我们的目标是为SDM在急诊科（艾德）患者护理中的积极探索奠定基础。
Both the practice of medicine and the expecta-tions of patients regarding their care are changing. A point of confluence is in the need for medicine to be more patient centered and in the need for patients to be more involved in their care. 1, 2 This confluence is particularly pertinent when more than one reasonable approach is available to manage the patient’s situation and when those approaches differ in ways that matter to patients. 3 In shared decision making (SDM), clinicians and patients work together to understand the patient’s situation and to determine how best to address it. Emergency medicine is not exempt from these trends. In this paper we seek to define SDM and its role in contemporary healthcare. Our goal is to set the stage for the active exploration of SDM in the care of patients in the emergency department (ED).