首页|临床医生实践医患共同决策的思考

临床医生实践医患共同决策的思考

扫码查看
医患共同决策是继家长式决策模式和知情同意模式后,逐渐被大家认可的临床决策模式.在我国经历20 多年的发展,逐渐被临床医生所认可并不断引入临床实践,但其发展并不如想象中那么乐观.虽然它可以改善医患关系、减少决策失误,但实际工作中仍存在缺乏政策指引、医患双方互不信任、医生没有实现共情等诸多实际问题,致使医患共同决策的推进并不顺畅.因此,医患共同决策模式作为理想的决策模式,在我国临床工作中仍需要不断探索与完善.
Reflection on Clinician's Practice of Shared Decision-Making
Shared decision-making model has gradually been recognized as a clinical decision-making model following the paternalistic and informed consent models.After more than 20 years of development in China,it is gradually accepted by clinicians and constantly introduced into clinical practice.But its development is not as optimistic as expected.Although it can improve doctor-patient relationships and reduce decision-making errors,there are still many practical problems in actual work,such as the lack of policy guidance,mutual distrust between doctors and patients,and doctors'failure to achieve empathy,which lead to the unsmooth promotion of shared decision-making between doctors and patients.Therefore,as an ideal decision-making model,the shared decision-making model of doctors and patients still needs continuous exploration and improvement in clinical practice in China.

shared decision-makingdoctor-patient relationshipclinician

田云朋、卢成志

展开 >

天津市第一中心医院心内科 天津 300192

医患共同决策 医患关系 临床医生

天津市医学重点学科(专科)建设项目(2021)

TJYXZDXK-054B

2024

医学与哲学
中国自然辩证法研究会

医学与哲学

CSTPCDCHSSCD北大核心
影响因子:1.314
ISSN:1002-0772
年,卷(期):2024.45(10)