Sepucha Karen R, Mulley Albert G
Health Decision Research Unit, Massachusetts General Hospital, Boston, MA 02114, USA.
Patient Educ Couns. 2003 Jul;50(3):269-71. doi: 10.1016/s0738-3991(03)00048-x.
The shift towards patient-centered care requires innovative, flexible decision-making models. Current decision aids provide information and help patients clarify values. By focusing almost exclusively on these two components, the aids miss some necessary elements that can improve decision quality. We discuss two such elements in this paper. First is avoiding the tendency to move into providing information about options and outcomes before adequate preparation. The second is the tendency to neglect to provide adequate implementation support.
向以患者为中心的护理模式转变需要创新、灵活的决策模型。当前的决策辅助工具提供信息并帮助患者明确价值观。由于几乎只专注于这两个组成部分，这些辅助工具遗漏了一些可以提高决策质量的必要要素。我们在本文中讨论其中两个要素。首先是避免在准备不足之前就倾向于提供有关选择和结果的信息。其次是倾向于忽视提供足够的实施支持。
