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[患者治疗偏好的引出过程:法国视角]

[Patient treatment preferences elicitation process: a French perspective].

作者信息

Moumjid Nora, Brémond Alain

机构信息

Centre régional de lutte contre le cancer Léon-Bérard, Lyon.

出版信息

Bull Cancer. 2006 Jul;93(7):691-7.

Abstract

This paper deals with the physician-patient encounter. In France, the current legal framework allows patients to be informed (patients'rights to health information) and to participate to decisions regarding their own health. In such a context, this paper aims to give the reader the broad key components of the so-called 'patient treatment preferences elicitation process'in breast cancer, our research area. We first present the general context, with a definition of the different physician-patient models. We then present decision aids, tools that aim to provide high-quality information to patients in the decision-making process. Finally, based on our previous studies and on examples drawn from the international literature, we present the empirical process of patients'preferences elicitation which not only increases patients'knowledge of and satisfaction with the decision made, but also allows patients to be part of their disease management. Far from being a phenomenon in the air supported by a legal system, this method developed in the 90s allows patients and more generally healthcare users to be autonomous without constraining them to a choice.

摘要

本文探讨医患互动。在法国,现行法律框架允许患者了解相关信息(患者的健康信息权)并参与关乎自身健康的决策。在此背景下,本文旨在向读者介绍我们研究领域(乳腺癌)中所谓“患者治疗偏好引出过程”的主要关键要素。我们首先介绍总体背景,对不同的医患模式进行定义。接着介绍决策辅助工具,这些工具旨在在决策过程中为患者提供高质量信息。最后,基于我们之前的研究以及从国际文献中选取的实例,我们介绍患者偏好引出的实证过程,这一过程不仅能增加患者对所做决策的了解并提高满意度,还能让患者参与到自身疾病管理中。这种方法并非是由法律体系凭空支撑的现象,它在20世纪90年代得以发展,使患者以及更广泛的医疗保健使用者能够自主,而不会强迫他们做出选择。

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