Yao Mi, Finnikin Samuel, Cheng K K
Department of General Practice, Peking University Health Science Center, Beijing, China; Beijing Xicheng District Xinjiekou Community Health Service Center, Beijing, China.
Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Z Evid Fortbild Qual Gesundhwes. 2017 Jun;123-124:32-35. doi: 10.1016/j.zefq.2017.05.004. Epub 2017 May 19.
China's healthcare system has undergone extensive changes over recent years and the most recent reforms are designed to shift the emphasis away from hospital based services towards a more primary care based system. There is an increasing recognition that shared decision making needs to play a central role in the delivery of healthcare in China, but there are several significant barriers to overcome before this aspiration becomes a reality. Doctor-patient relationships in China are poor, consultations are often brief transactions and levels of trust are low. Implementing a shared decision making process developed in the Western World may be hampered by cultural differences, although this remains an under-researched area. There is, however, a suggestion that the academic community is starting to take an interest in encouraging shared decision making in practice and indications that the Chinese public may be willing to consider this new approach to healthcare.
近年来，中国的医疗体系发生了广泛变革，最新改革旨在将重点从以医院为基础的服务转向更以基层医疗为基础的体系。人们越来越认识到，共同决策需要在中国医疗服务的提供中发挥核心作用，但在这一愿望成为现实之前，有几个重大障碍需要克服。中国的医患关系不佳，诊疗过程往往是简短的事务性往来，信任度较低。尽管这仍是一个研究不足的领域，但在西方世界发展起来的共同决策过程的实施可能会受到文化差异的阻碍。然而，有迹象表明学术界开始对在实践中鼓励共同决策产生兴趣，也有迹象表明中国公众可能愿意考虑这种新的医疗保健方式。
