The Scottish Government, Edinburgh, Scotland, UK.
Patient Educ Couns. 2019 Oct;102(10):1751-1755. doi: 10.1016/j.pec.2019.06.024. Epub 2019 Jun 30.
Current models of health and social care services are stretched and do not always suit patients, their carers or the aspirations of the workforce. Realistic Medicine aims to improve patient care by ensuring that people receive appropriate, beneficial, evidence-based care aligned with their personal preferences. This paper builds on a keynote address delivered at ICCH 2018.
We explore the six core principles of Realistic Medicine: (i) building a personalised approach to patient care; (ii) changing style to shared decision-making; (iii) reducing harm and waste; (iv) tackling unwarranted variation in practice and outcomes; (v) managing risk better; (vi) becoming improvers and innovators in healthcare.
Realistic Medicine is being embedded across Scotland, championed by local and national clinical leaders. There is particular focus on engaging patients around shared-decision making and improving value in healthcare.
Realistic Medicine is the first example of these principles being articulated clearly and collectively as the essential components of a health and care system's national improvement strategy. It reflects the care that most professional staff wish to provide.
To deliver Realistic Medicine, all health and social care professionals must be empowered to work together in teams, networks and in partnership with people.
当前的卫生和社会保健服务模式捉襟见肘，并不总是符合患者、他们的照顾者或劳动力的愿望。现实医学旨在通过确保人们接受与其个人偏好相符的适当、有益和基于证据的护理来改善患者护理。本文是在 2018 年 ICCH 大会上的主题演讲基础上撰写的。
我们探讨了现实医学的六个核心原则：（i）建立个性化的患者护理方法；（ii）改变风格，采用共同决策；（iii）减少伤害和浪费；（iv）解决实践和结果中不必要的差异；（v）更好地管理风险；（vi）成为医疗保健领域的改进者和创新者。
现实医学正在苏格兰得到广泛应用，得到了当地和国家临床领导人的支持。特别关注围绕共同决策和提高医疗保健价值来吸引患者。
现实医学是这些原则首次被明确而集体地表述为卫生和保健系统国家改进战略的基本组成部分。它反映了大多数专业人员希望提供的护理。
为了实施现实医学，所有卫生和社会保健专业人员必须被赋予权力，以便在团队、网络和与个人的伙伴关系中共同工作。
