患者决策支持的下一步是什么？
What is the next step in patient decision support?
作者信息
Scott G C, Lenert L A
机构信息
Stanford Medical Informatics, Stanford University School of Medicine, Stanford, California, USA.
出版信息
Proc AMIA Symp. 2000:784-8.
Patient decision support systems have a promising role in the delivery of health care. However, the best approach for further development of these systems is a matter of speculation. To help chart a course for further development of decision support systems, we consider the four traditional roles that patients play in the medical decision making process, the limitations that patients face in participating in each role and describe how contemporary systems address can facilitate successful decision making for each role. Because patients have a diversity of preferences for the role they play in decision making, we believe that the critical research question is how to make decision support systems robust enough to support a patient's desired role, whatever that role might be. By directing research in decision support systems in this fashion, we believe that they will achieve a larger patient audience and have increased value in the delivery of clinical care.
患者决策支持系统在医疗保健服务中具有广阔前景。然而，这些系统进一步发展的最佳方法仍有待探讨。为了帮助规划决策支持系统的进一步发展方向，我们考虑了患者在医疗决策过程中所扮演的四个传统角色、患者在参与每个角色时所面临的限制，并描述了当代系统如何应对以促进每个角色的成功决策。由于患者在决策中所扮演的角色偏好各不相同，我们认为关键的研究问题是如何使决策支持系统足够强大，以支持患者期望的角色，无论该角色是什么。通过以这种方式指导决策支持系统的研究，我们相信它们将获得更多患者群体，并在临床护理服务中具有更高的价值。
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