Radboud Institute for Health Sciences, IQ healthcare, Radboud University Medical Center, Nijmegen, The Netherlands; Knowledge Institute of Medical Specialists, Utrecht, The Netherlands.
Radboud Institute for Health Sciences, IQ healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.
Patient Educ Couns. 2022 Sep;105(9):2860-2870. doi: 10.1016/j.pec.2022.05.009. Epub 2022 May 16.
Proponents of shared decision-making (SDM) advocate the elicitation of the patient's perspective. This scoping review explores if, and to what extent, the personal perspectives of patients are elicited during a clinical encounter, as part of a SDM process. We define personal perspective elicitation (PPE) as: the disclosure (either elicited by the clinician or spontaneously expressed by the patient) of information related to the patient's personal preferences, values and/or context.
A search was conducted in five literature databases from inception dates up to July 2020, to identify empirical studies about SDM (with/without SDM instrument).
The search identified 4562 abstracts; 263 articles were read in full text, resulting in 99 included studies. Studies reported low levels of PPE. Integration of personal perspectives into the conversation or a future care plan was largely absent. The majority of the discussed content related to physical health, while social and psychological topics were mostly unaddressed.
PPE occurs on a very low level in efforts to achieve SDM according to evaluation studies.
PPE is advocated but rarely achieved in SDM evaluation studies. Causes should be identified, followed by designing interventions to improve this aspect of SDM.
支持共享决策（SDM）的人提倡引出患者的观点。本范围综述探讨了在临床就诊过程中，是否以及在何种程度上引出了患者的个人观点，作为 SDM 过程的一部分。我们将个人观点引出（PPE）定义为：披露与患者的个人偏好、价值观和/或背景相关的信息（由临床医生引出或患者自发表达）。
从五个文献数据库中进行了搜索，时间从创建日期到 2020 年 7 月，以确定有关 SDM（有/没有 SDM 工具）的实证研究。
搜索确定了 4562 篇摘要；阅读了 263 篇全文，最终纳入了 99 项研究。研究报告称 PPE 水平较低。将个人观点纳入对话或未来的护理计划中基本不存在。讨论的内容大多与身体健康有关，而社会和心理话题大多未涉及。
根据评估研究，在实现 SDM 的努力中，PPE 的发生水平非常低。应确定原因，然后设计干预措施来改善 SDM 的这一方面。
在 SDM 评估研究中，提倡但很少实现 PPE。应确定原因，然后设计干预措施来改善 SDM 的这一方面。
