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

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.