Kasper J F, Mulley A G, Wennberg J E
Community and Family Medicine, Dartmouth Medical School, Hanover, NH 03755.
QRB Qual Rev Bull. 1992 Jun;18(6):183-90. doi: 10.1016/s0097-5990(16)30531-0.
We strongly believe in the importance of patient involvement in a medical decision. The interactive SDPs appear to be an effective way to facilitate this involvement. One key to the acceptance of these programs by patients and physicians is that they be--and be perceived as--fair, accurate, and balanced. Herein we have described the well-defined protocol for developing, evaluating, and updating SDPs. The first of the foundation's programs dealing with benign prostatic hyperplasia has been well received by patients and clinicians and has been demonstrated to have an impact on practice patterns. Efforts are under way to evaluate four additional programs, leading to widespread availability of the first five SDPs by fall of 1992.
我们坚信患者参与医疗决策的重要性。交互式共享决策程序似乎是促进这种参与的有效方式。患者和医生接受这些程序的一个关键在于它们要——并且被视为——公平、准确且平衡。在此我们描述了开发、评估和更新共享决策程序的明确方案。该基金会首个针对良性前列腺增生的程序已受到患者和临床医生的广泛欢迎，并已证明对实践模式产生了影响。目前正在努力评估另外四个程序，以便在1992年秋季前广泛提供前五个共享决策程序。
