1 School of Medicine, Emory University, Atlanta, Georgia, USA.
2 Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Otolaryngol Head Neck Surg. 2018 Jul;159(1):11-16. doi: 10.1177/0194599818763600. Epub 2018 Mar 13.
In our previous installment, we introduced shared decision making (SDM) as a collaborative process in which patients, families, and clinicians develop a mutually optimized treatment plan when more than 1 reasonable treatment option exists. In this subsequent installment of our Evidence-Based Medicine in Otolaryngology Series, we expand on the topic of SDM, including the related current state of clinical decision making, the impact of SDM on health care utilization and patient satisfaction, the potential role of system and society changes, the experience with SDM as it relates to race and ethnicity, existing financial incentives, and the validated instruments that assess the extent to which SDM occurs.
在上一篇文章中，我们介绍了共享决策制定（SDM），这是一个协作过程，当存在不止一种合理的治疗方案时，患者、家属和临床医生共同制定一个最优化的治疗方案。在我们的《耳鼻喉科循证医学系列》的后续文章中，我们将扩展 SDM 的主题，包括相关的临床决策制定现状、SDM 对医疗保健利用和患者满意度的影响、系统和社会变革的潜在作用、与种族和民族有关的 SDM 经验、现有的经济激励措施以及评估 SDM 发生程度的有效工具。
