Perpetua Elizabeth M, Palmer Roseanne, Le Viet T, Al-Khatib Sana M, Beavers Craig J, Beckman Joshua A, Bozkurt Biykem, Coylewright Megan, Lloyd Doherty Caroline, Guibone Kimberly A, Hawkey Marian, Keegan Patricia A, Kirkpatrick James N, Laperle Jessica, Lauck Sandra B, Levine Glenn, Lindman Brian R, Mack Michael J, Price Andrea L, Strong Susan, Wyman Janet F, Youmans Quentin R, Gulati Martha
Empath Health Services, Seattle, Washington, USA.
School of Nursing, Department of Biobehavioral Nursing and Informatics, University of Washington, Seattle, Washington, USA.
JACC Adv. 2024 Jul 3;3(7):100981. doi: 10.1016/j.jacadv.2024.100981. eCollection 2024 Jul.
Shared decision-making (SDM) and multidisciplinary team-based care delivery are recommended across several cardiology clinical practice guidelines. However, evidence for benefit and guidance on implementation are limited. Informed consent, the use of patient decision aids, or the documentation of these elements for governmental or societal agencies may be conflated as SDM. SDM is a bidirectional exchange between experts: patients are the experts on their goals, values, and preferences, and clinicians provide their expertise on clinical factors. In this Expert Panel perspective, we review the current state of SDM in team-based cardiovascular care and propose best practice recommendations for multidisciplinary team implementation of SDM.
多项心脏病临床实践指南都推荐采用共同决策（SDM）和基于多学科团队的护理模式。然而，关于其益处的证据以及实施指南却很有限。知情同意、患者决策辅助工具的使用，或者为政府或社会机构记录这些要素，可能都被混同为共同决策。共同决策是专家之间的双向交流：患者是自身目标、价值观和偏好方面的专家，而临床医生则提供临床因素方面的专业知识。在此专家小组观点中，我们回顾了基于团队的心血管护理中共同决策的现状，并提出了多学科团队实施共同决策的最佳实践建议。
