Bottacini Alessandro, Scalia Peter, Goss Claudia
Department of Neurosciences, Biomedicine and Movement Sciences, Section of Clinical Psychology, University of Verona, Verona, Italy.
The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, 1 Medical Center Drive, Lebanon, USA.
Z Evid Fortbild Qual Gesundhwes. 2017 Jun;123-124:61-65. doi: 10.1016/j.zefq.2017.05.023. Epub 2017 May 20.
The aim of this paper is to update the previous review on the state of patient and public participation in healthcare in Italy. Policymakers consider patient involvement an important aspect in health care decisions and encourage patients to actively participate in the clinical interaction. Nevertheless, the term shared decision making (SDM) is still not clearly defined. Patient associations promote patient participation in health care decisions. Several experts attended the latest consensus conference about patient engagement to reach a consensus on the definition of SDM. Research regarding SDM in Italy continues to increase with 17 articles published between 2012 and 2017. Researchers have assessed the variables associated with patient involvement and explored the use of the SDM approach in different medical settings. Despite the dedicated SDM initiative, researchers in Italy recognize room for improvement. Work is needed to reach a common language regarding SDM and its mechanisms to implement this approach at the clinical level.
本文旨在更新之前关于意大利患者及公众参与医疗保健状况的综述。政策制定者认为患者参与是医疗保健决策中的一个重要方面，并鼓励患者积极参与临床互动。然而，“共同决策”（SDM）这一术语仍未得到明确界定。患者协会推动患者参与医疗保健决策。多位专家参加了关于患者参与的最新共识会议，以就共同决策的定义达成共识。意大利有关共同决策的研究持续增加，2012年至2017年间发表了17篇相关文章。研究人员评估了与患者参与相关的变量，并探讨了共同决策方法在不同医疗环境中的应用。尽管有专门的共同决策倡议，但意大利的研究人员认识到仍有改进空间。需要开展工作，就共同决策及其在临床层面实施该方法的机制达成共识。
