Foundation for Informed Medical Decision Making, Boston, Massachusetts, USA.
Health Aff (Millwood). 2011 Apr;30(4):699-706. doi: 10.1377/hlthaff.2011.0003.
Good-quality care requires that procedures, treatments, and tests be not only medically appropriate, but also desired by informed patients. Current evidence shows that most medical decisions are made by physicians with little input from patients. This article describes issues surrounding informed patient decision making and the steps necessary to improve the way decisions are made. Creating incentives for providers and health care organizations to inform patients and incorporate patients' goals into decisions is critical. Patient surveys are needed to monitor the quality of decision making. Health information technology can help by collecting information from patients about their symptoms, how well they understand their options, and what is important to them, and sharing that information with providers. We review public and private developments that could facilitate the development of tools and methods to improve patient-centered care.
高质量的医疗服务需要医疗程序、治疗和检查不仅在医学上合理，而且也要符合知情患者的期望。现有证据表明，大多数医疗决策都是由医生做出的，而患者的参与度很低。本文介绍了围绕知情患者决策制定的问题，以及改善决策制定方式所需的步骤。为医疗服务提供者和医疗机构创造激励机制，以告知患者并将患者的目标纳入决策中至关重要。需要进行患者调查来监测决策质量。医疗信息技术可以通过收集患者的症状信息、他们对自身选择的理解程度以及对他们重要的信息，并与医疗服务提供者共享这些信息，从而提供帮助。我们回顾了公共和私人领域的发展，这些发展可能有助于开发工具和方法，以改善以患者为中心的医疗服务。
