临床决策:医患交流与合作的过程

Clinical Decision-making:the process of communication and cooperation of doctor and patient

一切医学实践活动都是从决策问题开始。由于我们的决策面对的是需要治疗的患者,而患者的价值观是不一样的;同时,医学知识和技术是在不断发展和进步的,所以医生需要改变传统的决策方式,重视医学证据、可用资源和患者的价值取向。医患之间的相互信任是合理决策的前提。这种信任需在充分沟通的基础上达到互相认可。促进医患共同决策,将成为21世纪医疗服务的努力方向。

All medical practice starts from policy decision, Our policy decision is patients who need our treatment, And the value point of patients is different, Medical knowledge and technology is developing and improving, Therefore doctors should change traditional conception, We must consider medicine evidence, resources of applied and patients＇ value point, The trust is the premise that between doctor and patient, Promoting doctor and patient joint together to do policy decision would be one of the targets that 21 century medical care.