Nowakowski Katherine E, Tilburt Jon C, Kaur Judith S
Mayo Medical School, Mayo Clinic, Rochester, MN 55905, USA.
J Cancer Educ. 2012 Dec;27(4):790-2. doi: 10.1007/s13187-012-0412-6.
Shared decision making has been advocated as a key ethical strategy to improve quality of care and cancer control, especially in relation to screening and treatment decisions at various stages of the cancer continuum. Recent research on cancer in American Indian/Alaska Native (AI/AN) communities has highlighted significant disparities, raising questions about how best to implement prevention and screening programs in often fragmented and underfunded Indian health, tribal and urban systems. Incorporating shared decision making initiatives routinely may provide opportunities to address the complex choices AI/AN patients face.
共同决策已被倡导为提高医疗质量和癌症控制的关键伦理策略，尤其是在癌症连续统一体各个阶段的筛查和治疗决策方面。最近对美国印第安人/阿拉斯加原住民（AI/AN）社区癌症的研究突出了显著差异，引发了关于如何在通常分散且资金不足的印第安健康、部落和城市系统中最佳实施预防和筛查计划的问题。常规纳入共同决策举措可能为解决AI/AN患者面临的复杂选择提供机会。
