Holmes-Rovner Margaret, Nelson Wendy L, Pignone Michael, Elwyn Glyn, Rovner David R, O'Connor Annette M, Coulter Angela, Correa-de-Araujo Rosaly
College of Human Medicine, Michigan State University, East Lansing, MI 48824, USA.
Med Decis Making. 2007 Sep-Oct;27(5):599-608. doi: 10.1177/0272989X07307272. Epub 2007 Sep 14.
This article reports on the International Patient Decision Aid Standards Symposium held in 2006 at the annual meeting of the Society for Medical Decision Making in Cambridge, Massachusetts. The symposium featured a debate regarding the proposition that "decision aids are the best way to improve clinical decision making.'' The formal debate addressed the theoretical problem of the appropriate gold standard for an improved decision, efficacy of decision aids, and prospects for implementation. Audience comments and questions focused on both theory and practice: the often unacknowledged roots of decision aids in expected utility theory and the practical problems of limited patient decision aid implementation in health care. The participants' vote on the proposition was approximately half for and half against.
本文报道了2006年在马萨诸塞州剑桥市举行的医学决策学会年会上召开的国际患者决策辅助工具标准研讨会。该研讨会以一场关于“决策辅助工具是改善临床决策的最佳方式”这一命题的辩论为特色。这场正式辩论探讨了改善决策的适当金标准的理论问题、决策辅助工具的功效以及实施前景。听众的评论和问题既涉及理论也关乎实践：决策辅助工具在预期效用理论中常常未被承认的根源，以及医疗保健中患者决策辅助工具实施有限的实际问题。与会者对该命题的投票结果大约是赞成与反对各占一半。
