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克服过度医疗 第 5 部分:共享决策是我们的王者之剑吗?

Overcoming Overuse Part 5: Is Shared Decision Making Our Excalibur?

出版信息

J Orthop Sports Phys Ther. 2021 Feb;51(2):53-56. doi: 10.2519/jospt.2021.0103.

DOI:10.2519/jospt.2021.0103
PMID:33522383
Abstract

Shared decision making is recommended as a strategy to help patients identify what matters most to them and make informed decisions about musculoskeletal care. In part 5 of the Overcoming Overuse series, we look at the evidence supporting shared decision making as a strategy to help curb overuse. Using shared decision making in clinical consultations may help to reduce the overuse of options that are not beneficial and to increase use of care supported by evidence. Shared decision making could support clinicians in promoting uptake of active rehabilitation options with a favorable balance of benefits to harms. Shared decision making facilitates conversations about unnecessary tests or treatments and could be a key strategy for overcoming overuse. .

摘要

共享决策被推荐为一种策略,以帮助患者确定对他们最重要的事情,并就肌肉骨骼护理做出明智的决策。在《克服过度使用》系列的第 5 部分中,我们研究了支持共享决策作为一种策略来帮助遏制过度使用的证据。在临床咨询中使用共享决策可能有助于减少使用无益的选择,并增加使用有证据支持的护理。共享决策可以支持临床医生推广具有有利收益-危害平衡的积极康复选择的采用。共享决策促进了关于不必要的检查或治疗的对话,并且可能是克服过度使用的关键策略。

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