Chen Weihao, Zhang Mengni, Shen Cheng
West China School of Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China.
Zhongguo Fei Ai Za Zhi. 2024 Feb 20;27(2):133-137. doi: 10.3779/j.issn.1009-3419.2024.101.04.
As a new diagnosis and treatment decision-making model, shared decision making (SDM) can effectively solve the problem of patient compliance in the diagnosis and treatment of thoracic tumors, balance the status of both doctors and patients, and gradually get attention and application in the clinical practice of thoracic surgery. The application of SDM in the diagnosis and treatment of thoracic tumors is conducive to improve doctors' diagnosis and treatment level and alleviating the pressure of responsibility, reduce patients' psychological pressure and improve patients' compliance and also improve medical trust and reduce doctor-patient conflict. Due to the limited medical literacy and autonomy of patients, the time for diagnosis and treatment is short due to the imbalance of doctor-patient ratio. Meanwhile, due to the limited sample size of existing studies, SDM model cannot be proved to have a clear gain for the treatment of thoracic tumors, and the implementation of SDM model still faces resistance. In the future, the development of auxiliary decision-making system and the improvement of doctors' humanistic care ability will be conducive to promote the practical application of SDM model in thoracic surgery. .
作为一种新型的诊断和治疗决策模式，共享决策（SDM）能够有效解决胸部肿瘤诊治中患者依从性的问题，平衡医患双方地位，并逐渐在胸外科临床实践中得到关注和应用。SDM在胸部肿瘤诊治中的应用有利于提高医生的诊治水平并减轻责任压力，减轻患者心理压力并提高患者依从性，还能增进医疗信任并减少医患冲突。由于患者医学素养和自主性有限，医患比例失衡导致诊治时间短。同时，由于现有研究样本量有限，SDM模式对胸部肿瘤治疗的获益尚不明确，SDM模式的实施仍面临阻力。未来，辅助决策系统的发展和医生人文关怀能力的提升将有助于推动SDM模式在胸外科的实际应用。
