Bieber Christiane, Gschwendtner Kathrin, Müller Nicole, Eich Wolfgang
Klinik für Allgemeine Innere Medizin und Psychosomatik, Zentrum für Psychosoziale Medizin, Universitätsklinikum Heidelberg.
Psychother Psychosom Med Psychol. 2016 May;66(5):195-207. doi: 10.1055/s-0042-105277. Epub 2016 Apr 27.
The article provides an overview on Shared Decision Making (SDM), which is considered as the ideal form of physician-patient-interaction by many stakeholders of the health care system. SDM is distinguished from other models of physician-patient-interaction such as the paternalistic model and the information model. Besides the degree of acceptance of SDM in the general population and among physicians, barriers for its implementation will be reported. Indications for SDM as well as strategies and support material for its use in individual consultations will be discussed and illustrated by an oncological case study. Effects of SDM for patients as well as for clinicians will be highlighted. After background information on origins of SDM, its significance with regard to health policy in Germany is discussed.
本文提供了关于共同决策(SDM)的概述,许多医疗保健系统的利益相关者将其视为医患互动的理想形式。共同决策有别于其他医患互动模式,如家长式模式和信息模式。除了普通人群和医生对共同决策的接受程度外,还将报告其实施过程中的障碍。本文将通过一个肿瘤学案例研究来讨论和说明共同决策的适应症以及在个体咨询中使用的策略和支持材料。将重点介绍共同决策对患者和临床医生的影响。在介绍了共同决策的起源背景信息后,将讨论其在德国卫生政策方面的意义。