心理健康领域的共同决策：对当前临床实践的重要性。
Shared decision making in mental health: the importance for current clinical practice.
作者信息
Alguera-Lara Victoria, Dowsey Michelle M, Ride Jemimah, Kinder Skye, Castle David
机构信息
Research Senior Registrar, Department of Psychiatry, St Vincent's Hospital, Melbourne, VIC, Australia.
Career Development Fellow, Cepartment of Orthopedics St Vincent's Hospital, Melbourne, VIC, Australia.
出版信息
Australas Psychiatry. 2017 Dec;25(6):578-582. doi: 10.1177/1039856217734711. Epub 2017 Oct 10.
OBJECTIVES
We reviewed the literature on shared decision making (regarding treatments in psychiatry), with a view to informing our understanding of the decision making process and the barriers that exist in clinical practice.
METHODS
Narrative review of published English-language articles.
RESULTS
After culling, 18 relevant articles were included. Themes identified included models of psychiatric care, benefits for patients, and barriers. There is a paucity of published studies specifically related to antipsychotic medications.
CONCLUSIONS
Shared decision making is a central part of the recovery paradigm and is of increasing importance in mental health service delivery. The field needs to better understand the basis on which decisions are reached regarding psychiatric treatments. Discrete choice experiments might be useful to inform the development of tools to assist shared decision making in psychiatry.
目的
我们回顾了（关于精神病学治疗方面的）共同决策的文献，以便增进我们对决策过程以及临床实践中存在的障碍的理解。
方法
对已发表的英文文章进行叙述性综述。
结果
经过筛选，纳入了18篇相关文章。确定的主题包括精神科护理模式、对患者的益处以及障碍。专门针对抗精神病药物的已发表研究较少。
结论
共同决策是康复模式的核心部分，在心理健康服务提供中日益重要。该领域需要更好地理解做出精神病学治疗决策的依据。离散选择实验可能有助于为开发辅助精神病学共同决策的工具提供信息。
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