摘要
目前在临床上,医疗决策过程绝大多数采取的是家长模式和告知模式,在这两种模式中,患者不能充分参与医疗决策过程。共同决策模式允许医患双方都能积极参与医疗决策过程,医护告知患者可选的治疗方案,而患者表达自己对各治疗方案的偏好和态度,医患分享信息,最终达成共识,从而提高了治疗的效果和满意度。共同决策在骨科中的应用也有积极效果。虽然共同决策大有裨益,但目前仍存在一些问题。
The current clinical decision making modes are paternalistic mode and informed mode, which hinder patients from participating in the process of decision making. Shared decision making allows both the physician and the patient to actively contribute to the medical decision, in which doctors educate the patient about the treatment options available for their condition, whereas patients indicate how their preferences and values relate to these options. The patient and physician then exchange of information that enhances the potential outcome for the patient. Application of shared decision making in orthopaedic practice also has positive outcomes. Despite the obvious potential benefits of this model, challenges remain and some issues need to be addressed.
出处
《中国医学伦理学》
2013年第2期179-181,共3页
Chinese Medical Ethics
关键词
共同决策
医患关系
医患沟通
医疗决策模式
医学伦理学
Shared Decision Making
Doctor - patient Relationship
Doctor - patient Communication
Medical Decision Making Mode
Medical Ethics
