Montgomery A A, Fahey T
Division of Primary Health Care, University of Bristol, Bristol BS8 2PR, UK.
Qual Health Care. 2001 Sep;10 Suppl 1(Suppl 1):i39-43. doi: 10.1136/qhc.0100039...
The shared model of medical decision making has been proposed as the preferred method of determining patients' treatment. However, agreement may be more difficult to achieve if patients' and clinicians' preferences are polarised. The aim of this paper is to explore how closely patients and clinicians agree in their preferences for different treatment options. Only studies that made quantifiable estimates of preferences were included. There is some evidence that patients and health professionals often do not agree on treatment preference in the areas of cardiovascular disease, cancer, obstetrics and gynaecology, and acute respiratory illness. However, the magnitude and direction of these differences vary and may depend on the condition of interest. Most of the research to date is cross sectional; longitudinal research is required to investigate whether preferences change over time and are related to treatment choice, adherence to medication if taken, and health outcomes.
共同医疗决策模型已被提议作为确定患者治疗方案的首选方法。然而，如果患者和临床医生的偏好两极分化，达成一致可能会更加困难。本文旨在探讨患者和临床医生在不同治疗方案偏好上的一致程度。仅纳入了对偏好进行可量化估计的研究。有证据表明，在心血管疾病、癌症、妇产科和急性呼吸道疾病领域，患者和卫生专业人员在治疗偏好上常常存在分歧。然而，这些差异的程度和方向各不相同，可能取决于所关注的疾病状况。迄今为止，大多数研究都是横断面研究；需要进行纵向研究来调查偏好是否随时间变化，以及是否与治疗选择、服药依从性（如果服药的话）和健康结果相关。
