Department of Periodontology and Operative Dentistry, Faculty of Dentistry, University of Münster, Münster, Germany.
Center for Adaptive Rationality, Max Planck Institute for Human Development, Berlin, Germany.
J Evid Based Dent Pract. 2017 Sep;17(3):177-183. doi: 10.1016/j.jebdp.2017.03.011. Epub 2017 Apr 4.
Shared decision-making involves the participation of patient and dental practitioner. Well-informed decision-making requires that both parties understand important concepts that may influence the decision. This fourth article in a series of 4 aims to discuss the importance of patients' values when a clinical decision is made.
We report on how to incorporate important concepts for well-informed, shared decision-making. Here, we present patient values as an important issue, in addition to previously established topics such as the risk of bias of a study, cost-effectiveness of treatment approaches, and a comparison of therapeutic benefit with potential side effects.
We provide 2 clinical examples and suggestions for a decision tree, based on the available evidence.
The information reported in this article may improve the relationship between patient and dental practitioner, resulting in more well-informed clinical decisions.
共同决策涉及患者和牙科医生的参与。知情决策要求双方都了解可能影响决策的重要概念。本文是系列文章的第 4 部分，旨在讨论在做出临床决策时患者价值观的重要性。
我们报告了如何纳入知情、共同决策的重要概念。在这里，我们提出了患者价值观作为一个重要问题，除了之前已经确立的话题，如研究的偏倚风险、治疗方法的成本效益，以及治疗效果与潜在副作用的比较。
我们提供了 2 个临床案例，并根据现有证据提出了决策树的建议。
本文所报告的信息可以改善患者和牙科医生之间的关系，从而做出更明智的临床决策。
