Predicament and prospect of implementing shared decision making in the diagnosis and treatment of malignant tumors
In recent years,the concept of shared decision making(SDM)has gradually gained popularity,with an increasing number of patients with malignancy willing to actively participate in clinical decision making,to form precise and individualized treatment plans in line with their own values and needs.SDM model not only does not compromise treatment outcomes,but also achieves better patient satisfaction,treatment compliance,quality of life,psychological state,self-efficacy,and lower hospitalization costs.However,due to the tense doctor-patient relationship,slow updates of doctor concepts/knowledge,lack of communication skills,differences in patient economic and social backgrounds,and family intervention,among other factors,SDM faces many difficulties and challenges in China,and has not yet been widely and effectively implemented in the diagnosis and treatment of tumor patients.
Malignant tumorShared decision makingSurgeryQuality of life