Ernst J, Holze S, Sonnefeld C, Götze H, Schwarz R
Universität Leipzig, Medizinische Fakultät, Institut für Arbeits- und Sozialmedizin, Selbständige Abteilung Sozialmedizin, Leipzig, Germany.
Gesundheitswesen. 2007 Apr;69(4):206-15. doi: 10.1055/s-2007-973091.
The changes in the relationship between doctors and patients and the transfer of shared decision making into medical treatment has often been discussed. The role and the perspective of the patients are primarily described. The aim of our study is to examine the attitudes of physicians regarding the shared decision making concept, based on 15 interviews with clinical doctors. Our findings show that most doctors know the content of the concept and mostly agree with it. Practical barriers for the realisation of shared decision making are often stressed. The meaning of the concept of shared decision making for the physicians is in some respects different from the meaning of this concept for the patients. It is important to examine this concept more particularly with standardised instruments. It will be necessary to explore not only the role of patients and physicians in the medical decision making process but also the position of other relevant persons like the relatives of the patients or the nursing staff.
医患关系的变化以及共同决策在医疗中的转化一直是人们经常讨论的话题。主要描述了患者的角色和观点。我们研究的目的是基于对临床医生的15次访谈，考察医生对共同决策概念的态度。我们的研究结果表明，大多数医生了解该概念的内容，并且大多对此表示认同。人们经常强调共同决策实施中的实际障碍。共同决策概念对医生的意义在某些方面与对患者的意义有所不同。更特别地使用标准化工具来研究这个概念很重要。不仅有必要探究患者和医生在医疗决策过程中的角色，还需要探究其他相关人员的立场，比如患者家属或护理人员。
