St Cross College, University of Oxford, and Emeritus Professor of Philosophy and Mental Health, University of Warwick, Coventry, UK.
J Eval Clin Pract. 2011 Apr;17(2):341-3. doi: 10.1111/j.1365-2753.2010.01578.x. Epub 2010 Nov 30.
Person-centred medicine depends on combining best research evidence with the unique values (including the preferences, concerns, needs and wishes) of individual patients and their families.
The paper gives a brief introduction to values-based practice as a new approach to incorporating patients' values into clinical decision making alongside best research evidence as derived from evidence-based practice.
The role of values-based practice as a partner to evidence-based practice is illustrated through a series of policy, training and service development initiatives in mental health from the UK Department of Health in London.
These initiatives have supported person-centred developments in key areas of mental health practice including, (1) the use of involuntary treatment; and (2) a shared approach of assessment. Early moves are underway to extend values-based practice to other areas of health care beyond mental health.
Values-based practice offers a new approach to incorporating patients' unique values into clinical decision making that is complementary to evidence-based practice as a resource for person-centred medicine.
以患者为中心的医学依赖于将最佳研究证据与个体患者及其家属的独特价值观（包括偏好、关注、需求和愿望）相结合。
本文简要介绍了基于价值观的实践，这是一种将患者价值观纳入临床决策的新方法，与从循证实践中得出的最佳研究证据相结合。
通过英国伦敦卫生部在精神卫生领域的一系列政策、培训和服务发展举措，说明了基于价值观的实践作为循证实践的合作伙伴的作用。
这些举措支持了精神卫生实践关键领域的以患者为中心的发展，包括（1）非自愿治疗的使用；（2）评估的共同方法。目前正在采取初步措施，将基于价值观的实践扩展到精神卫生以外的其他医疗保健领域。
基于价值观的实践为将患者的独特价值观纳入临床决策提供了一种新方法，与循证实践作为以人为本医学的资源相辅相成。
