Kaltoft Mette Kjer, Nielsen Jesper Bo, Salkeld Glenn, Dowie Jack
PhD student, Department of Public Health, University of Southern Denmark, Odense, Denmark
Professor, Head of Department of Public Health, University of Southern Denmark, Odense, Denmark.
J Health Serv Res Policy. 2015 Jul;20(3):192-5. doi: 10.1177/1355819614567911. Epub 2015 Jan 10.
Most guidelines for clinical practice, and especially those for the construction of decision support tools, assume that the individual person (the patient) needs to be in possession of information of particular sorts and amount in order to qualify as having made an 'informed decision'. This often implicitly segues into the patient having made a 'good decision'. In person-centred health care, whether, in what form, and with what weight, 'information' is included as a criterion of decision quality is a matter for the person involved, to decide in the light of their own values, preferences, and time and resource constraints.
大多数临床实践指南,尤其是那些关于决策支持工具构建的指南,都假定个人(患者)需要掌握特定种类和数量的信息,才能被认定为做出了“知情决策”。这往往会隐含地转变为患者做出了“正确决策”。在以患者为中心的医疗保健中,“信息”是否、以何种形式以及具有多大权重被纳入决策质量的标准,这是相关人员根据自身价值观、偏好以及时间和资源限制来决定的事情。