Department of Primary Care and Public Health, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4YS.
Patient Educ Couns. 2011 Apr;83(1):55-7. doi: 10.1016/j.pec.2010.04.019. Epub 2010 May 26.
Current models of the medical consultation emphasize shared decision-making (SDM), whereby the expertise of both the doctor and the patient are recognised and seen to equally contribute to the consultation. The evidence regarding the desirability and effectiveness of the SDM approach is often conflicting. It is proposed that the conflicts are due to the nature of assessment, with current assessments from the perspective of an outside observer.
To empirically assess perceived involvement in the medical consultation using the dyadic OPTION instrument.
36 simulated medical consultations were organised between general practitioners and standardized- patients, using the observer OPTION and the newly developed dyadic OPTION instruments.
SDM behaviours observed in the consultations were seen to depend on both members of the doctor and patient dyad, rather than each in isolation. Thus a dyadic approach to measurement is supported.
This current study highlights the necessity for a dyadic approach to assessment and introduces a novel research instrument: the dyadic OPTION instrument.
目前的医学咨询模式强调共同决策（SDM），即承认医生和患者的专业知识同等重要，并认为他们的专业知识都为咨询做出了贡献。关于 SDM 方法的可取性和有效性的证据往往存在冲突。有人提出，这些冲突是由于评估的性质造成的，目前的评估是从局外人的角度进行的。
使用对偶 OPTION 工具对医疗咨询中的感知参与度进行实证评估。
使用观察者 OPTION 和新开发的对偶 OPTION 工具，在全科医生和标准化患者之间组织了 36 次模拟医疗咨询。
观察到咨询中观察到的 SDM 行为取决于医生和患者双方，而不是单独一方。因此，支持采用对偶方法进行测量。
本研究强调了对偶评估方法的必要性，并介绍了一种新的研究工具：对偶 OPTION 工具。
