Bauman Adrian E, Fardy H John, Harris Peter G
University of New South Wales, Sydney.
Med J Aust. 2003 Sep 1;179(5):253-6. doi: 10.5694/j.1326-5377.2003.tb05532.x.
Patient-centred care is about sharing the management of an illness between patient and doctor; it is not new but is increasingly evidence-based, especially for chronic problems such as diabetes, asthma and arthritis. Systematic reviews show that patient-centred care results in increased adherence to management protocols, reduced morbidity and improved quality of life for patients. Key features of the doctor-patient interaction are shared goal setting, written management plans and regular follow-up. Supportive community-based services and programs, combined with healthcare system commitment, are also required to make this approach effective in improving population health.
以患者为中心的医疗是指患者与医生共同参与疾病管理；这并非新鲜事物，但越来越多地以证据为基础，尤其是对于糖尿病、哮喘和关节炎等慢性疾病。系统评价表明，以患者为中心的医疗可提高患者对管理方案的依从性，降低发病率，并改善患者的生活质量。医患互动的关键特征包括共同设定目标、制定书面管理计划以及定期随访。若要使这种方法有效改善人群健康，还需要有支持性的社区服务和项目，以及医疗保健系统的投入。
