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老年患者心血管疾病中风险沟通与决策的重要性:一篇讨论文章。

Importance of risk communication and decision making in cardiovascular conditions in older patients: a discussion paper.

作者信息

Dudley N

机构信息

St James's University Hospital, Leeds LS9 7TF, UK.

出版信息

Qual Health Care. 2001 Sep;10 Suppl 1(Suppl 1):i19-22. doi: 10.1136/qhc.0100019...

Abstract

Atrial fibrillation and aortic stenosis commonly present doctors and patients with difficult decisions about the risks and benefits of treatment options and are both often inappropriately undertreated. Patients may be confused by risk information and doctors may be aware of patients' limitations and use this to manipulate choices to the ones desired by the doctors. This paper examines the importance of risk communication and discusses difficulties that can arise in decision making in these two common cardiovascular conditions.

摘要

心房颤动和主动脉瓣狭窄常常使医生和患者在治疗方案的风险与益处方面面临艰难抉择,而且这两种病症往往都未得到恰当治疗。患者可能会被风险信息弄得晕头转向,而医生可能会意识到患者的局限性,并利用这一点将选择引导至他们期望的方向。本文探讨了风险沟通的重要性,并讨论了在这两种常见心血管疾病的决策过程中可能出现的困难。

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