Evidence-Based Medicine in Otolaryngology, Part 5: Patient Decision Aids

被引:12
作者
Pynnonen, Melissa A. [1 ]
Randolph, Gregory W. [2 ]
Shin, Jennifer J. [2 ]
机构
[1] Univ Michigan Hlth Syst, Dept Otolaryngol, Ann Arbor, MI USA
[2] Harvard Univ, Sch Med, Dept Otolaryngol, Boston, MA 02115 USA
基金
美国国家卫生研究院;
关键词
decision aid; physician-patient relations; decision making; VALUES CLARIFICATION; PERCEPTIONS; ASSOCIATION; PREFERENCES; COMPETENCE; VALIDATION; SURGEONS;
D O I
10.1177/0194599815592366
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Modern medical decision making is a complex task requiring collaboration between patients and physicians. Related clinical evidence may delineate a clearly favorable path, but in other instances, uncertainty remains. Even in these circumstances, however, there are techniques that optimize decision making by blending existing evidence with individual patient values in the context of physician counseling. This installment of Evidence-Based Medicine in Otolaryngology focuses on the crucial issue of how practitioners may approach clinical situations where the data do not delineate a single irrefutable path. We describe decision aidstools that can educate patients about data related to complex clinical decisions. We review their definition, quality standards, patient interface, benefits, and limitations. We also discuss the related concept of option grids and the role of decision aids in evidence-based practice.
引用
收藏
页码:357 / 363
页数:7
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