Pynnonen Melissa A, Hawley Sarah T
Department of Otolaryngology, University of Michigan Health System, Ann Arbor, Michigan, USA
Department of Internal Medicine, University of Michigan Health System, Veterans Administration Center for Clinical Management Research, University of Michigan, Ann Arbor, Michigan, USA.
Otolaryngol Head Neck Surg. 2014 Jun;150(6):910-3. doi: 10.1177/0194599814529922. Epub 2014 Apr 8.
Patient education is used to engage patients in their own health care and is relevant in most clinical situations. Shared decision making (SDM) is used to engage patients when a choice needs to be made about a diagnostic or therapeutic procedure and the medical evidence does not indicate which choice is best. American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) clinical practice guidelines (CPGs) include multiple action statements that may benefit from patient education or SDM. In this commentary, we discuss patient education and SDM using examples from AAO-HNS CPGs. We believe that use of patient education and decision support materials for SDM will enhance the effectiveness of SDM and improve the uptake of CPGs. We issue a call to action for all stakeholders to consider how to put these materials into the hands of our patients.
患者教育旨在促使患者参与自身的医疗保健，且在大多数临床情况下都具有相关性。当需要对诊断或治疗程序做出选择而医学证据又未表明哪种选择最佳时，会采用共同决策（SDM）来促使患者参与其中。美国耳鼻咽喉 - 头颈外科学会（AAO - HNS）临床实践指南（CPG）包含多项行动声明，这些声明可能受益于患者教育或共同决策。在本评论中，我们将利用AAO - HNS CPG中的示例来讨论患者教育和共同决策。我们认为，将患者教育和决策支持材料用于共同决策将提高共同决策的有效性，并促进CPG的采用。我们呼吁所有利益相关者考虑如何将这些材料交到我们患者手中。
