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15 分钟咨询:通过共同决策赋予儿童、青少年和家庭权力:实用指南。

Fifteen-minute consultation: Empowering children, young people and families through shared decision-making: a practical guide.

机构信息

Department of Nephro-Urology, Southampton Children's Hospital, Southampton, UK

Institute of Human Sciences, University of Oxford, Oxford, UK.

出版信息

Arch Dis Child Educ Pract Ed. 2024 Nov 21;109(6):264-270. doi: 10.1136/archdischild-2023-325513.

Abstract

Shared decision-making (SDM) is a collaborative approach to healthcare decision-making that involves patients and healthcare professionals working together to make decisions that are informed by the best available medical evidence, as well as the patient's values, preferences and goals. The importance of SDM and the intricate interplay among parents, children and young people (CYP), and healthcare professionals are increasingly acknowledged as the crucial aspects of delivering high-quality paediatric care. While there is a substantial evidence base for SDM improving knowledge and reducing decisional conflict, the evidence for long-term measures such as improved health outcomes is limited and mainly inconclusive. To support healthcare teams in implementing SDM, the authors offer a practical guide to enhance decision-making processes and empower CYP and their families.

摘要

共同决策(SDM)是一种协作式医疗决策方法,涉及患者和医疗保健专业人员共同合作,根据最佳可用医学证据以及患者的价值观、偏好和目标做出决策。SDM 的重要性以及父母、儿童和青少年 (CYP) 与医疗保健专业人员之间复杂的相互作用,正日益被视为提供高质量儿科护理的关键方面。虽然有大量证据表明 SDM 可以提高知识水平并减少决策冲突,但关于改善健康结果等长期措施的证据有限且主要尚无定论。为了支持医疗保健团队实施 SDM,作者提供了一份实用指南,以增强决策过程并赋予 CYP 和他们的家庭权力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fb1/11671968/8835e0ead546/edpract-109-6-g001.jpg

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