de Abreu Mirhelen Mendes, Maia Melanie Noël, Oliveira Telles Alexandre, Dos Santos Renata Oliveira Maciel, Gomes Maria Katia, Mallet Ana Luisa Rocha, de Azevedo Lúcia Maria Soares
Internal Medicine Department. Faculty of Medicine, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Primary Care Department. Faculty of Medicine. Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Z Evid Fortbild Qual Gesundhwes. 2025 Feb;192:90-93. doi: 10.1016/j.zefq.2024.11.006. Epub 2024 Dec 12.
Clinical practice in Brazil has rapidly transformed. Doctor-patient relationships are the focus of these transformations, either within health policies or in the context of medical training. The Brazilian Curriculum Guidelines have emphasized the doctor-patient relationship as part of medical skills and competences, based on patient-centered care. In this article, we present the political advances in patient-centered care. In addition, we address an overview of the Brazilian status quo of decision support tools. Finally, we share experiences in curriculum reform for the advances of communication skills and the interfaces with narrative medicine and the arts in curricular medical training as a means to advance towards the practice of shared decision making.
巴西的临床实践已迅速转变。医患关系是这些转变的核心，无论是在卫生政策方面还是在医学培训背景下。巴西课程指南强调医患关系是以患者为中心的医疗护理的一部分，是医学技能和能力的组成部分。在本文中，我们介绍了以患者为中心的医疗护理方面的政策进展。此外，我们概述了巴西决策支持工具的现状。最后，我们分享了课程改革方面的经验，这些经验涉及沟通技能的提升以及在医学课程培训中与叙事医学和艺术的衔接，以此作为迈向共同决策实践的一种手段。
