Whitley Rob
Dartmouth Psychiatric Research Center, Lebanon, NH 03766, USA.
Psychiatr Rehabil J. 2009 Winter;32(3):227-30. doi: 10.2975/32.3.2009.227.230.
Shared Decision Making is an innovative health-care approach gaining ground as part of the shift toward patient-centered medicine. It involves collaboration and discussion between doctors and patients to arrive at mutually satisfying treatment decisions. It places a strong emphasis on the therapeutic alliance, empowering patients to play an active role in their own care.
In this article, the author argues that research and development vis-à-vis shared decision-making must take serious account of ethno-racial status as a mediating variable. This may be a powerful determinant of broad orientations toward medical decision-making.
Medline was used to extract relevant papers which were analyzed and intertwined with the author's existing knowledge of relevant sociological and anthropological evidence and theory.
Specific proposals are made for a research agenda ensuring that ethno-racial issues are considered as a departure point rather than an afterthought in shared decision making model development.
共同决策是一种创新的医疗保健方法，作为向以患者为中心的医学转变的一部分正在逐渐普及。它涉及医生与患者之间的合作与讨论，以达成双方都满意的治疗决策。它高度强调治疗联盟，使患者能够在自身护理中发挥积极作用。
在本文中，作者认为，关于共同决策的研究与开发必须认真考虑种族地位作为一个中介变量。这可能是医疗决策广泛取向的一个有力决定因素。
使用Medline来提取相关论文，并与作者现有的相关社会学和人类学证据及理论知识进行分析和交织。
针对一项研究议程提出了具体建议，以确保在共同决策模型开发中，种族问题被视为出发点而非事后才考虑的因素。
