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患者偏好与医患共同决策

张渊

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文章导航 > 协和医学杂志  > 2019 >  10(6): 679-684
张渊. 患者偏好与医患共同决策[J]. 协和医学杂志, 2019, 10(6): 679-684. doi: 10.3969/j.issn.1674-9081.2019.06.022
引用本文: 张渊. 患者偏好与医患共同决策[J]. 协和医学杂志, 2019, 10(6): 679-684. doi: 10.3969/j.issn.1674-9081.2019.06.022
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Yuan ZHANG. Patient Preference and Shared Decision Making[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(6): 679-684. doi: 10.3969/j.issn.1674-9081.2019.06.022
Citation: Yuan ZHANG. Patient Preference and Shared Decision Making[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(6): 679-684. doi: 10.3969/j.issn.1674-9081.2019.06.022
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患者偏好与医患共同决策

doi: 10.3969/j.issn.1674-9081.2019.06.022

  • 麦克马斯特大学医学研究方法学 医学证据及影响系, 加拿大汉密尔顿 L8S 4L8

详细信息
    作者简介:

    张渊：Tel: +1-905-525-9140, E-mail:zhang243@mcmaster.ca

  • 中图分类号: R-1

Patient Preference and Shared Decision Making

  • Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton L8S 4L8, Canada

    摘要
  • 摘要: 循证医学提倡医务人员应用证据并考虑患者价值和偏好作出决策。医患共同决策基于医患双方均为"专家"的理念, 即医生作为医学专家提供医学专业意见, 而患者作为了解自身偏好的专家, 双方在充分讨论后共同作出医学决策。在此过程中, 医务人员应同时具备获取最佳证据以及应用决策辅助系统实现医患共同决策的能力。本文通过比较不同医学决策模式, 讨论医患共同决策的理论与实践, 并列举与中国医疗环境相关的、医患共同决策可能面临的挑战与障碍因素, 以期为临床作出合理决策以及提高医疗服务质量提供借鉴。
    Abstract: Evidence-based medicine calls for consideration of the best available evidence and incorporation of patient values and preferences in health care decisions. The rationale of shared decision making is that both physicians and patients are experts, the physicians on medicine and the patients on their own preferences. Thus, it is essential for physicians and patients to exchange their expertise and make decisions together. To realize shared decision making in practice, physicians need to learn how to acquire the best available evidence, and how to use the decision aid to implement the shared decision making.This article compares different decision making approaches, and discusses the theory, practice, and the barriers to shared decision making specifically in China, aiming to support better clinical decision making and improvement of healthcare quality.
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    • 参考文献(27)
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出版历程
  • 收稿日期:  2019-08-20
  • 刊出日期:  2019-11-30

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