Godolphin William
Division of Health Care Communication, College of Health Disciplines and professor emeritus, Department of Pathology and Laboratory Medicine, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Healthc Q. 2009;12 Spec No Patient:e186-90. doi: 10.12927/hcq.2009.20947.
Shared decision-making has been called the crux of patient-centred care and identified as a key part of change for improved quality and safety in healthcare. However, it rarely happens, is hard to do and is not taught - for many reasons. Talking with patients about options is not embedded in the attitudes or communication skills training of most healthcare professionals. Information tools such as patient decision aids, personal health records and the Internet will help to shift this state, as will policy that drives patient and public involvement in healthcare delivery and training.
共同决策被视为以患者为中心的医疗服务的核心，也是提高医疗质量和安全性变革的关键部分。然而，由于诸多原因，共同决策很少发生，实施起来困难重重，且未被纳入教学内容。与患者讨论治疗方案的做法并未融入大多数医疗专业人员的态度或沟通技能培训中。诸如患者决策辅助工具、个人健康记录和互联网等信息工具，以及推动患者和公众参与医疗服务提供与培训的政策，都将有助于改变这种状况。
Zotero 插件