Aligning Ethics with Medical Decision-Making: The Quest for Informed Patient Choice
Aligning Ethics with Medical Decision-Making: The Quest for Informed Patient Choice
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DOI：
10.1111/j.1748-720x.2010.00469.x
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发表时间：
2010-03-01
影响因子：
2.1
通讯作者：
King, Jaime S.
中科院分区：
文献类型：
--
作者：
Moulton, Benjamin;King, Jaime S.
临床证据表明，许多患者接受手术，如果完全知情，他们会拒绝。未能传达相关的风险，收益和手术的替代方案违反了医学道德并浪费了医疗资源。将共享决策（提供者和患者之间的沟通方法）整合到医疗决策中可以满足医生的道德义务并减少不必要的程序。本文提出了一个实施全国性共同决策实践的三步过程：（1）创建示范整合计划;（2）提供法律的激励措施，以缓解过渡;（3）将共同决策纳入医疗必要性确定。
Clinical evidence suggests that many patients undergo surgery that they would decline if fully informed. Failure to communicate the relevant risks, benefits, and alternatives of a procedure violates medical ethics and wastes medical resources. Integrating shared decision-making, a method of communication between provider and patient, into medical decisions can satisfy physicians' ethical obligations and reduce unwanted procedures. This article proposes a three-step process for implementing a nationwide practice of shared decision-making: (1) create model integration programs; (2) provide legal incentives to ease the transition; and (3) incorporate shared decision-making into medical necessity determinations.