医患共决策模式研究进展及发展趋势  

Research progress and development trend on shared decision-making model between doctor andpatient

作　　者：乔滢瑞 张迪[2,3] 黄晓明 焦洋 Qiao Yingrui;Zhang Di;Huang Xiaoming;Jiao Yang(Department of General Internal Medicine,Peking Union Medical College Hospital,Peking Union Medical College&Chinese Academy of Medical Sciences,Beijing 100730,China;School of Humanities and Social Sciences,Peking Union Medical College&Chinese Academy of Medical Sciences,Beijing 100730,China;Center for Bioethics,Peking Union Medical College&Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院、北京协和医学院、北京协和医院全科医学科(普通内科),北京100730 [2]中国医学科学院北京协和医学院人文和社会科学学院,北京100730 [3]中国医学科学院北京协和医学院生命伦理学研究中心,北京100730

出　　处：《中华全科医师杂志》2024年第8期886-891,共6页Chinese Journal of General Practitioners

基　　金：中央高水平医院临床科研专项(2022-PUMCH-A-017);北京协和医学院2022年教学质量工程项目(2022zlgc0109)。

摘　　要：医患共决策是一种医患共同参与医疗决策的医学模式,在欧美发达国家已得到广泛应用。近年来,越来越多的研究对医患共决策的本土化进行了探索,但符合我国国情的医患共决策临床应用模式仍未建立。文章对医患共决策的基本概念、临床应用、优缺点及未来发展进行了综述,以期为构建中国特色的医患共决策模式提供思路。Shared decision-making is a medical model developed in the 1970s where physicians and patients jointly participate in making healthcare decisions.It has been widely adopted in developed countries in Europe and the United States.In recent years,more and more studies have explored the localization of shared decision-making in China,but the clinical application model in Chinese context has not yet been established.This article reviews the basic concept,clinical application,advantages and disadvantages,and future development of the shared decision-making between doctor and patient,in hope of providing ideas for the construction of a shared decision-making model in China.

关 键 词：决策 医患共决策 患者权利 

分 类 号：R197.1[医药卫生—卫生事业管理]