Elwyn G, Edwards A, Eccles M, Rovner D
Department of General Practice, University of Wales College of Medicine, Canolfan Iechyd Llanedeyrn Health Centre, CF23 9PN, Cardiff, UK.
Lancet. 2001 Aug 18;358(9281):571-4. doi: 10.1016/S0140-6736(01)05709-9.
To help patients to fully participate in shared decision making is becoming an important goal in clinical practice and one which is receiving increasing attention in terms of the requisite skills and technological development. We discuss the potential application of decision analysis-a specific technology that has been introduced into clinical practice but to date only within research contexts-and examine the usefulness and feasibility of the technique for patients, particularly in settings where clinical presentations are diverse and characterised by uncertainty.
帮助患者充分参与共同决策正成为临床实践中的一个重要目标,并且在所需技能和技术发展方面正受到越来越多的关注。我们讨论决策分析的潜在应用——这是一种已被引入临床实践但迄今为止仅在研究背景下使用的特定技术——并考察该技术对患者的实用性和可行性,特别是在临床表现多样且具有不确定性的情况下。