Department of Home Care and Regional Liaison Promotion, National Center for Geriatrics and Gerontology, Obu, Japan.
Department of Home Care and Regional Liaison Promotion, National Center for Geriatrics and Gerontology, Obu, Japan.
Z Evid Fortbild Qual Gesundhwes. 2022 Jun;171:84-88. doi: 10.1016/j.zefq.2022.04.007. Epub 2022 May 21.
In Japan, shared decision-making (SDM) is still in its infancy, and there are many challenges and missions in promoting SDM. Older people account for approximately 30% of the population of Japan and they experience several challenges in deciding about the treatment and care for themselves. The importance of specific decision support and patient involvement is yet to be recognized widely for difficult decisions. However, in clinical settings, to support patients in decision-making, continuous activities by healthcare professionals are under development. With several policy guidelines and academic society proposals focusing on SDM, the number of people recognizing the importance of decision-making support is expected to increase. It is important to establish sites dedicated to teaching SDM, improveaccess to them, and managethese training activities continuously. Patients and healthcare providers in Japan will surely benefit from such activities.
在日本，共享决策（SDM）仍处于起步阶段，在推动 SDM 方面存在诸多挑战和使命。老年人约占日本人口的 30%，他们在决定自身治疗和护理方面面临着诸多挑战。对于困难的决策，特定的决策支持和患者参与的重要性尚未得到广泛认可。然而，在临床环境中，为了支持患者进行决策，医疗保健专业人员正在不断开展相关活动。随着多项关注 SDM 的政策指南和学术团体提案的提出，认识到决策支持重要性的人数预计将会增加。建立专门的 SDM 教学场所、提高其可及性并持续管理这些培训活动非常重要。日本的患者和医疗保健提供者必将从这些活动中受益。
