Shared Decision Making to Improve the Emergency Care of Older Adults: A Research Agenda

被引：22

作者：

Hogan, Teresita M. ^{[1
]}

Richmond, Natalie L. ^{[2
]}

Carpenter, Christopher R. ^{[3
]}

Biese, Kevin ^{[4
]}

Hwang, Ula ^{[5
]}

Shah, Manish N. ^{[6
]}

Escobedo, Marcus ^{[7
]}

Berman, Amy ^{[7
]}

Broder, Joshua S. ^{[8
]}

Platts-Mills, Timothy F. ^{[4
,9
]}

机构：

[1] Univ Chicago, Dept Emergency Med, Chicago, IL 60637 USA

[2] Univ N Carolina, Sch Med, Chapel Hill, NC USA

[3] Washington Univ, Div Emergency Med, St Louis, MO USA

[4] Univ N Carolina, Dept Emergency Med, Chapel Hill, NC 27514 USA

[5] Icahn Sch Med Mt Sinai, New York, NY 10029 USA

[6] Univ Wisconsin, Dept Emergency Med, Madison, WI USA

[7] John A Hartford Fdn, New York, NY USA

[8] Duke Univ, Dept Emergency Med, Durham, NC USA

[9] Univ N Carolina, Dept Anesthesiol, Chapel Hill, NC 27514 USA

来源：

ACADEMIC EMERGENCY MEDICINE | 2016年 / 23卷 / 12期

关键词：

RANDOMIZED CONTROLLED-TRIAL; QUALITY-OF-LIFE; DEPARTMENT PATIENTS; PATIENT EDUCATION; DISCHARGE INSTRUCTIONS; OPIOID TREATMENT; HEALTH LITERACY; PAIN MEDICATION; FIELD TRIAGE; BACK-PAIN;

D O I：

10.1111/acem.13074

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Older emergency department patients have high rates of serious illness and injury, are at high risk for side effects and adverse events from treatments and diagnostic tests, and in many cases, have nuanced goals of care in which pursuing the most aggressive approach is not desired. Although some forms of shared decision making (SDM) are commonly practiced by emergency physicians caring for older adults, broader use of SDM in this setting is limited by a lack of knowledge of the types of patients and conditions for which SDM is most helpful and the approaches and tools that can best facilitate this process. We describe a research agenda to generate new knowledge to optimize the use of SDM during the emergency care of older adults. (C) 2016 by the Society for Academic Emergency Medicine

引用

页码：1386 / 1393

页数：8

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