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通过克服普遍存在的挑战促进医学院校共同决策的实施:简要综述

Facilitating Implementation of Shared Decision-Making in Medical Schools by Overcoming the Prevailing Challenges: A Brief Review.

作者信息

Shrivastava Saurabh RamBihariLal, Singh Brij Raj, Shrivastava Prateek Saurabh, Patil Manoj

机构信息

Professor, Department of Community Medicine, Datta Meghe Medical College, Off-Campus Centre of Datta Meghe Institute of Higher Education and Research, Hingna Road, Wanadongri, Nagpur, Maharashtra, India.

Vice Dean, Professor, Department of Anatomy, Datta Meghe Medical College, Off-Campus Centre of Datta Meghe Institute of Higher Education and Research, Hingna Road, Wanadongri, Nagpur, Maharashtra, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S1907-S1909. doi: 10.4103/jpbs.jpbs_1275_23. Epub 2024 Mar 5.

DOI:10.4103/jpbs.jpbs_1275_23
PMID:39346342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11426681/
Abstract

The emergence of shared decision-making (SDM) in the field of medical education represents a significant shift in the way how health care is being taught to medical students and practiced by healthcare professionals. The purpose of the current review is to explore the merits of SDM to students and patients, identify the prevailing challenges in its successful implementation, and suggest appropriate solutions to overcome them. An extensive search of all materials related to the topic was performed on the PubMed search engine, and a total of 20 articles were selected. The process of implementation of SDM in medical education can turn out to be extremely challenging due to a wide range of factors. In conclusion, training medical students in the domain of SDM is crucial to cultivate the skills and attitudes that are indispensable for future healthcare professionals. The need of the hour is to identify the prevailing challenges and address them by adopting a multifaceted approach.

摘要

医学教育领域中共同决策(SDM)的出现,代表了向医学生传授医疗保健知识以及医疗保健专业人员践行医疗保健方式的重大转变。本次综述的目的是探讨共同决策对学生和患者的益处,确定其成功实施过程中存在的主要挑战,并提出克服这些挑战的适当解决方案。我们在PubMed搜索引擎上对与该主题相关的所有材料进行了广泛搜索,共筛选出20篇文章。由于多种因素,在医学教育中实施共同决策的过程可能极具挑战性。总之,在共同决策领域对医学生进行培训,对于培养未来医疗保健专业人员不可或缺的技能和态度至关重要。当务之急是识别当前存在的挑战,并通过采取多方面的方法来解决这些挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522e/11426681/6a64811831ef/JPBS-16-1907-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522e/11426681/6a64811831ef/JPBS-16-1907-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522e/11426681/6a64811831ef/JPBS-16-1907-g001.jpg

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本文引用的文献

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Shared decision-making: why, for whom, and how?共同决策:为何、针对何人以及如何进行?
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Identifying residents' educational needs to optimising postgraduate medical education about shared decision-making.确定居民的教育需求,以优化关于共同决策的研究生医学教育。
Patient Educ Couns. 2022 Oct;105(10):3086-3095. doi: 10.1016/j.pec.2022.06.016. Epub 2022 Jun 27.
3
Practising shared decision making in primary care.在初级医疗保健中践行共同决策。
Malays Fam Physician. 2021 Mar 22;16(1):2-7. doi: 10.51866/cm0001. eCollection 2021 Mar 25.
4
Identifying Entrustable Professional Activities for Shared Decision Making in Postgraduate Medical Education: A National Delphi Study.确定研究生医学教育中共享决策的可委托专业活动:一项全国性德尔菲研究。
Acad Med. 2021 Jan 1;96(1):126-133. doi: 10.1097/ACM.0000000000003618.
5
Shared Decision Making in Gastroenterology: Challenges and Opportunities.胃肠病学中的共同决策:挑战与机遇
Mayo Clin Proc Innov Qual Outcomes. 2020 Mar 9;4(2):183-189. doi: 10.1016/j.mayocpiqo.2019.11.003. eCollection 2020 Apr.
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Person-centred shared decision making.以人为本的共享决策。
J Eval Clin Pract. 2019 Dec;25(6):1057-1062. doi: 10.1111/jep.13260. Epub 2019 Aug 12.
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Patient Education and Continuing Medical Education to Promote Shared Decision-Making. A Systematic Literature Review.患者教育和继续医学教育促进共同决策。系统文献回顾。
Int J Environ Res Public Health. 2019 Jul 12;16(14):2482. doi: 10.3390/ijerph16142482.
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