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精神药物管理中的共享决策:其采用、障碍和促进因素概述。

Shared decision making for psychiatric medication management: a summary of its uptake, barriers and facilitators.

机构信息

Pharmacy Division/ School of Allied Health, The University of Western Australia, 35 Stirling Hwy, Crawley, WA, 6009, Australia.

出版信息

Int J Clin Pharm. 2021 Jun;43(3):759-763. doi: 10.1007/s11096-021-01240-3. Epub 2021 Jan 29.

Abstract

The model of shared decision making with mental health patients and clinicians (doctors and pharmacists) harnesses the benefits of patients becoming partners in their own recovery through improved communication and greater self-advocacy. Shared decision making in mental health services is an emerging model of care which has not been well investigated, however it is seen as the way forward to achieving improved health outcomes for non-pharmacological and pharmacological therapy. Successful implementation of this model requires supporting the process through provision of information and training, use of decision aids, coaching in communication skills and inclusion of family and carers in the decision making process. This summary examines the application of the shared decision making model for psychiatric medication management, including barriers and facilitators.

摘要

心理健康患者和临床医生(医生和药剂师)共同决策模式利用了通过改善沟通和增强自我倡导,使患者成为自身康复伙伴的优势。心理健康服务中的共同决策是一种新兴的护理模式,尽管尚未得到充分研究,但它被视为实现非药物和药物治疗改善健康结果的途径。成功实施这一模式需要通过提供信息和培训、使用决策辅助工具、沟通技巧辅导以及让家庭成员和护理人员参与决策过程来支持这一过程。本摘要审查了共同决策模式在精神药物管理中的应用,包括障碍和促进因素。

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