Thiruvengadam Swetha Kambhampati, Ashvetiya Tamara, Stone Neil J, Blumenthal Roger S, Martin Seth S
Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, 600 N. Wolfe Street, Carnegie 591, Baltimore, MD, 21287, USA.
McGaw Medical Center, Northwestern University, Chicago, IL, USA.
Curr Cardiol Rep. 2016 May;18(5):49. doi: 10.1007/s11886-016-0729-6.
Shared decision-making, central to evidence-based medicine and good patient care, begins and ends with the patient. It is the process by which a clinician and a patient jointly make a health decision after discussing options, potential benefits and harms, and considering the patient's values and preferences. Patient empowerment is crucial to shared decision-making and occurs when a patient accepts responsibility for his or her health. They can then learn to solve their own problems with information and support from professionals. Patient empowerment begins with the provider acknowledging that patients are ultimately in control of their care and aims to increase a patient's capacity to think critically and make autonomous, informed decisions about their health. This article explores the various components of shared decision-making in scenarios such as hypertension and hyperlipidemia, heart failure, and diabetes. It explores barriers and the potential for improving medication adherence, disease awareness, and self-management of chronic disease.
共同决策是循证医学和优质患者护理的核心，始于患者，也终于患者。它是临床医生和患者在讨论各种选择、潜在益处和危害，并考虑患者的价值观和偏好之后，共同做出健康决策的过程。患者赋权对于共同决策至关重要，当患者对自己的健康承担责任时就会出现。然后，他们可以在专业人员的信息和支持下学会解决自己的问题。患者赋权始于医疗服务提供者承认患者最终掌控自己的护理，并旨在提高患者批判性思考的能力，以及就自身健康做出自主、明智决策的能力。本文探讨了高血压、高脂血症、心力衰竭和糖尿病等情况下共同决策的各个组成部分。它探讨了障碍以及改善药物依从性、疾病认知和慢性病自我管理的潜力。
