Lewis-Barned Nick
Northumbria Healthcare NHS Foundation Trust, Wansbeck Hospital, Northumberland, UK.
Future Hosp J. 2016 Jun;3(2):117-120. doi: 10.7861/futurehosp.3-2-117.
Shared decision making and support for self-management are among a range of approaches that have been developed over the last 20 years to fundamentally change the relationship between health professionals and patients. They have strong synergies and address the inequalities of the current relationship. They replace this with a partnership approach in which health professionals and patients work together to identify and enact decisions and plans that are jointly agreed on the basis of both medical evidence and what matters most to individuals. To do this effectively requires the development of new ways of working based on a culture of collaborative working, skills that support patients to think through and articulate preferences, and the development of systems and tools that make it easier to do this. There is already a body of practice that helps to identify what needs to be done and this practice now needs to be extended across the healthcare system.
共同决策和自我管理支持是过去20年中开发的一系列方法之一，旨在从根本上改变医疗专业人员与患者之间的关系。它们具有很强的协同作用，解决了当前关系中的不平等问题。它们用一种伙伴关系方法取而代之，在这种方法中，医疗专业人员和患者共同努力，根据医学证据和个人最重要的事项来确定并实施共同商定的决策和计划。要有效地做到这一点，需要基于协作工作文化开发新的工作方式，培养支持患者思考并阐明偏好的技能，以及开发便于实现这一目标的系统和工具。已经有一批实践经验有助于确定需要做什么，现在需要将这种实践扩展到整个医疗系统。
