Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA.
Transl Behav Med. 2012 Sep;2(3):260-1. doi: 10.1007/s13142-012-0154-3.
The seventh column on Evidence-Based Behavioral Medicine synopsizes a systematic review by Chewning and colleagues (Pat Educ Couns 86:9-18, 2012) on patient preferences for shared decision-making regarding treatment and screening. A total of 115 studies were included in the final analyses. In 63 % of studies, a majority of patients preferred sharing decisions with their primary care physician, as opposed to delegating health decisions to their provider. A time trend appeared such that in studies published more recently, a greater percentage of patients, particularly cancer patients, preferred sharing decisions. Further research should seek to better understand how the decision making of specific patient populations is influenced by life course changes and secular trends. Longitudinal studies can help to elucidate how patient decision-making preferences evolve over the course of illness and health status changes in different medical conditions.
循证行为医学第七栏概述了 Chewning 及其同事（Pat Educ Couns 86:9-18, 2012）关于患者对治疗和筛查方面共同决策的偏好的系统评价。最终分析共纳入了 115 项研究。在 63%的研究中，大多数患者更愿意与他们的初级保健医生共同决策，而不是将健康决策委托给提供者。出现了一个时间趋势，即在最近发表的研究中，更多的患者，特别是癌症患者，更喜欢共同决策。进一步的研究应该旨在更好地了解特定患者群体的决策是如何受到生命历程变化和长期趋势的影响的。纵向研究可以帮助阐明在不同的医疗条件下，患者的决策偏好如何随着疾病和健康状况的变化而演变。
