Bieber C, Gschwendtner K, Müller N, Eich W
Klinik für Allgemeine Innere Medizin und Psychosomatik, Zentrum für Psychosoziale Medizin, Universitätsklinikum Heidelberg.
Rehabilitation (Stuttg). 2017 Jun;56(3):198-213. doi: 10.1055/s-0043-106018. Epub 2017 Jun 9.
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认为这是医患互动的理想形式。共同决策与其他医患互动模式不同,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,还将报告其实施的障碍。将通过一个肿瘤学案例研究来讨论和说明共同决策在个体咨询中的适用情况以及使用的策略和支持材料。将强调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。