Western University, London, ON, Canada.
Department of Dermatology, University of California, San Francisco School of Medicine, San Francisco, CA, U.S.A.
Br J Dermatol. 2016 Nov;175(5):1045-1048. doi: 10.1111/bjd.14803.
Shared decision making combines individual patient interests and values with clinical best evidence under the guiding principle of patient autonomy. Patient decision aids can support shared decision making and facilitate decisions that have multiple options with varying outcomes for which patients may attribute different values. Given the variable psychosocial impact of skin disease on individuals and relative uncertainty regarding best treatments and their adherence in many dermatological conditions, informed shared decision making, supported by patient decision aids, should constitute a central component of dermatological care.
共同决策将个体患者的利益和价值观与临床最佳证据相结合，以患者自主性为指导原则。患者决策辅助工具可以支持共同决策，并为具有不同结局的多种选择的决策提供便利，对于这些不同结局，患者可能会赋予不同的价值。鉴于皮肤病对个体的心理社会影响存在差异，并且在许多皮肤病况中，最佳治疗方法及其依从性存在相对不确定性，因此，在患者决策辅助工具的支持下，知情的共同决策应该构成皮肤病护理的核心组成部分。
