从疾病谱的演变看临床决策的变迁
Transformation of Clinical Decision-making Through the Evolution of the Disease Spectrum
姜宣竹 1孙宏亮 2于洋 3刘宪伟4
作者信息
- 1. 大连医科大学第一临床学院 辽宁大连 116011
- 2. 大连医科大学人文与社会科学学院 辽宁大连 116044
- 3. 大连医科大学外语教研部 辽宁大连 116044
- 4. 大连医科大学附属第二医院蓝湾院区 辽宁大连 116044
- 折叠
摘要
针对家长式决策是否应当被全盘否定、知情决策是否仅仅是权利运动的结果、共享决策是否在当今具有实际价值的问题,通过分析不同历史时期的疾病谱类型、疾病产生原因和疾病特点,研究疾病与同时期的临床决策之间的内在联系,以及不同类型的临床决策模式在当今对于不同类型的疾病诊疗的意义和作用,最后指出三种临床决策模式之间并没有优劣之分并探讨推动形成以共享决策为主体,多种决策模式协同发展的临床决策模式的必要性.
Abstract
Focusing on the issues of whether paternalistic model should be completely denied,whether informed decision-making model is merely a result of power dynamics,and whether shared decision-making model holds practical value in today's context,this research aims to investigate the interrelation between diseases and clinical decision-making during different historical periods by analyzing the types,causes,and the characteristics of diseases in those periods.Additionally,it examines the significance and role of different decision-making models in diagnosing and treating various types of diseases in today's context.Finally,it highlights that no single model is superior to others,and discusses the necessity of promoting a clinical decision-making model that emphasizes shared decision-making as the main approach while fostering the coordinated development of multiple forms of clinical decision-making models.
关键词
临床决策/疾病负担/医患沟通/共享决策Key words
clinical decision-making/burden of disease/physician-patient communication/shared decision-making引用本文复制引用
基金项目
辽宁省社会科学规划基金(2022)(L22ASH001)
辽宁省研究生教育教学改革研究项目(2022)(LNYJG2022329)
出版年
2024
NETL
NSTL
万方数据