The concept of narrative evidence-based medicine and shared decision-making in traditional Chinese medical practice

随着精准医疗战略的推进，新兴诊断治疗技术的爆发式发展，共同决策可以提高临床决策的质量，促进中医临床研究向证据的转化。关注患者的叙述需求，加强医学人文关怀，可提高临床疗效和患者满意度。本文介绍了循证医学、叙述医学和共同决策的起源和发展，分析了中医临床决策中存在的问题。进一步，在叙述循证医学理念和方法的指导下，提出了临床医师和患者共同决策的方法。

For the explosive development of emerging diagnostic and therapeutic technologies brought by the advancement of precision medicine strategy, shared decision-making could improve the quality of clinical decision-making and promote the transformation of clinical research evidence in TCM. Paying attention to patients＇ narrative needs and strengthening medical humanistic concerns could improve clinical outcome and patient satisfaction. We described the origins and development of evidence-based medicine, narrative medicine and shared decision-making, and analyzed the existing problems in TCM clinical decision-making. Further, we put forward the model of shared decision-making between clinicians and patients under the guidance of narrative evidence-based medicine concepts and methods.