Clinical pharmacist and professor in the Department of Family Medicine and Community Health in the University of Minnesota of Minnesota Medical School in Minneapolis.
Director of behavioral health for the Woodwinds Hospital Family Medicine Residency Program in St Paul, Minnesota.
AMA J Ethics. 2022 May 1;24(5):E368-375. doi: 10.1001/amajethics.2022.368.
Many patients use dietary supplements but do not inform their clinicians. Some allopathic clinicians' conscious and unconscious cognitive and emotional biases against complementary and alternative medicine can affect whether patients disclose details about dietary supplement use, the quality of communication during clinical encounters, and the information clinicians draw upon to make decisions and recommendations. This article describes 6 cognitive biases that can influence patient-clinician communication and shared decision making about dietary supplements and suggests 6 ways to mitigate biases' negative effects on patient-clinician relationships.
许多患者使用膳食补充剂，但并不告知临床医生。一些对抗疗法临床医生对补充和替代医学的有意识和无意识的认知和情感偏见，可能会影响患者是否透露有关膳食补充剂使用的详细信息、临床接触期间的沟通质量，以及临床医生在做出决策和建议时所依据的信息。本文描述了 6 种可能影响患者与临床医生之间关于膳食补充剂的沟通和共同决策的认知偏见，并提出了 6 种减轻偏见对医患关系负面影响的方法。
