Ng Chirk Jenn, Lee Ping Yein
MBBS, MMed Family Med, PhD, Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia, Email:
MBBS, MMed Family Med, Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia.
Malays Fam Physician. 2021 Mar 22;16(1):2-7. doi: 10.51866/cm0001. eCollection 2021 Mar 25.
Making healthcare decisions collaboratively between patients and doctors can be challenging in primary care, as clinical encounters are often short. Conflicts between patients and doctors during the decision-making process may affect both patient and doctor satisfaction and result in medico-legal consequences. With the increasing recognition of the importance of patient empowerment, shared decision making (SDM) can serve as a practical consultation model for primary care doctors (PCDs) to guide patients in making informed healthcare choices. Although more research is needed to find effective ways to implement SDM in the real world, the 6-step approach presented in this paper can guide PCDs to practise SDM in their daily practice. Implementation of SDM can be further enhanced by incorporating SDM training into undergraduate and postgraduate curricula and using evidence-based tools such as patient decision aids.
在初级医疗保健中，患者与医生共同做出医疗决策可能具有挑战性，因为临床诊疗时间通常较短。在决策过程中，患者与医生之间的冲突可能会影响患者和医生双方的满意度，并导致医疗法律后果。随着对患者赋权重要性的认识不断提高，共同决策（SDM）可以作为一种实用的咨询模式，供初级医疗保健医生（PCD）指导患者做出明智的医疗选择。尽管需要更多研究来找到在现实世界中有效实施SDM的方法，但本文介绍的六步方法可以指导PCD在日常实践中践行SDM。将SDM培训纳入本科和研究生课程，并使用患者决策辅助工具等循证工具，可以进一步加强SDM的实施。
