Sydney Health Literacy Lab, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Z Evid Fortbild Qual Gesundhwes. 2022 Jun;171:15-21. doi: 10.1016/j.zefq.2022.04.002. Epub 2022 May 11.
Person-centred care (PCC) and shared decision-making (SDM) are part of national clinical standards for an increasing number of areas of health care delivery. In addition to existing standards for accrediting hospitals, day surgery facilities, public dental services and medical education in Australia, new standards governing primary health care and digital mental health services have been added. Implementation and measurement of PCC and SDM to comply with standards, and training of health professionals, remain challenges for the Australian health sector. Consumer involvement in health research, policy and clinical service governance continues to increase and the National Health and Medical Research Council has begun to encourage consumer and community involvement in health and medical research. This increased consumer engagement and moves towards more PCC provision is reflected in a focus on encouraging patients to ask questions during their clinical care and supports improvements in consumer health literacy. SDM support tools are now being culturally adapted whilst a need for more systemic approaches to their development and implementation persists. With increasing resources and tools for all aspects of PCC and SDM challenges to find sustainable solutions to ensure tools are kept up to date with the best available evidence remain.
以人为本的护理（PCC）和共同决策（SDM）是越来越多医疗保健服务领域的国家临床标准的一部分。除了澳大利亚现有的医院认证标准、日间手术设施、公共牙科服务和医学教育标准外，还增加了新的初级保健和数字心理健康服务标准。在澳大利亚卫生部门，实施和衡量 PCC 和 SDM 以符合标准以及培训卫生专业人员仍然是挑战。消费者在卫生研究、政策和临床服务治理方面的参与继续增加，国家卫生和医学研究理事会已开始鼓励消费者和社区参与卫生和医学研究。这种消费者参与度的提高以及向更多 PCC 服务的转变反映在鼓励患者在临床护理期间提问，并支持提高消费者健康素养。SDM 支持工具现在正在进行文化适应性调整，而对于其开发和实施的更系统方法的需求仍然存在。随着 PCC 和 SDM 各个方面的资源和工具的增加，寻找可持续解决方案以确保工具与最佳可用证据保持同步的挑战仍然存在。
