Bae Jong-Myon
Department of Preventive Medicine, Jeju National University Scool of Medicine, Jeju, Korea.
Epidemiol Health. 2017 Oct 30;39:e2017048. doi: 10.4178/epih.e2017048. eCollection 2017.
As the paradigm in healthcare nowadays is the evidence-based, patient-centered decision making, the issue of shared decision making (SDM) is highlighted. The aims of this manuscript were to look at the relevant concepts and suggest the facilitating strategies for overcoming barriers of conducting SDM. While the definitions of SDM were discordant, several concepts such as good communication, individual autonomy, patient participants, and patient-centered decision-making were involved. Further, the facilitating strategies of SDM were to educate and train physician, to apply clinical practice guidelines and patient decision aids, to develop valid measurement tools for evaluation of SDM processes, and to investigate the impact of SDM.
由于当今医疗保健的范式是基于证据的、以患者为中心的决策，共同决策（SDM）问题受到了关注。本文的目的是审视相关概念，并提出克服实施共同决策障碍的促进策略。虽然共同决策的定义并不一致，但涉及了一些概念，如良好沟通、个体自主性、患者参与以及以患者为中心的决策。此外，共同决策的促进策略包括对医生进行教育和培训、应用临床实践指南和患者决策辅助工具、开发用于评估共同决策过程的有效测量工具，以及研究共同决策的影响。
