van der Flier Wiesje M, Kunneman Marleen, Bouwman Femke H, Petersen Ronald C, Smets Ellen M A
Alzheimer Center and Department of Neurology, VU University Medical Center, Amsterdam Neuroscience, Amsterdam, The Netherlands.
Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands.
Alzheimers Dement (N Y). 2017 May 9;3(3):301-304. doi: 10.1016/j.trci.2017.03.008. eCollection 2017 Sep.
The launch of the NIA-AA research criteria for Alzheimer's disease (AD) diagnosis illustrates the large advances that have been made in the field of AD diagnosis. These new possibilities however also introduce new dilemmas into the consulting room, and this provides room for shared decision making (SDM). SDM refers to clinicians and patients (and/or their caregivers) working together to decide which care plan best fits individual patients and their lives, when there is more than one reasonable option. Here, we describe how SDM in the diagnosis of AD promotes patient-centered care, as it helps to adapt the diagnostic process to the patients' values and preferences. We provide an outline for a research agenda, as SDM in the diagnosis of dementia should be studied intensively incorporating the views of both patients and caregivers.
美国国立衰老研究所-阿尔茨海默病协会（NIA-AA）阿尔茨海默病（AD）诊断研究标准的发布，表明了AD诊断领域已取得的巨大进展。然而，这些新的可能性也给诊室带来了新的困境，这为共同决策（SDM）提供了空间。共同决策是指在存在多种合理选择时，临床医生与患者（和/或其护理人员）共同努力，决定哪种护理方案最适合个体患者及其生活。在此，我们描述了AD诊断中的共同决策如何促进以患者为中心的护理，因为它有助于使诊断过程适应患者的价值观和偏好。我们提供了一个研究议程大纲，因为痴呆症诊断中的共同决策应结合患者和护理人员的观点进行深入研究。
