“医护—家属共同决策”模式的构建和实施策略  

Construction and Implementation Strategies of the“Family-Clinician Shared Decision-Making”Model

作　　者：刘新春[1] GeraldHumphris 杨明施[1] 闫雅鑫 王清燕 钱丽如 LIU Xin-chun;GERALD Humphris;YANG Ming-shi(Third Xiangya Hospital of Central South University,Changsha,Hunan,410013,China;不详)

机构地区：[1]中南大学湘雅三医院,湖南长沙410013 [2]圣安德鲁斯大学医学院,英国圣安德鲁斯KY169TF [3]中南大学湘雅公共卫生学院,湖南长沙410008

出　　处：《中国医院管理》2021年第7期55-59,共5页Chinese Hospital Management

基　　金：美国中华医学会基金项目(CMB 14-200)。

摘　　要：医患共同决策被视为维护患者知情同意权的重要路径,受到医疗卫生管理体系的广泛关注。然而,我国尚缺乏本土化的共同决策共识和实践转化。基于"治疗共同决策"等理论,结合中国文化及伦理原则,构建了"医护—家属共同决策"模式并将其应用于重症监护病房。通过阐释模式构建的依据和内涵,总结实践经验,提出实践策略,以期为我国的医患共同决策提供借鉴和参考。Regarded as an important pathway to realize patient’s right for informed consent,the doctor-patient Shared Decision-Making(SDM)has been widely concerned by the health management system.However,China still lacks localized SDM consensus and practical transformation.Based on theories including“Treatment Shared Deci⁃sion-making”and through combining with Chinese culture and the ethics principle,the model of“Family-clinician shared decision-making”(FCSDM)was constructed and applied to the Intensive Care Units.The theoretical basis and connotation of the FCSDM model are elaborated,practical experience is summarized,and the practical strate⁃gies are proposed in order to provide reference for the doctor-patient SDM in China.

关 键 词：家属—医护共同决策 模式 实施策略 

分 类 号：R-052[医药卫生]