Evidence-Based Medicine in Otolaryngology Part 7: Introduction to Shared Decision Making

被引:19
作者
Ikeda, Allison K. [1 ]
Hong, Paul [2 ]
Ishman, Stacey L. [3 ,4 ]
Joe, Stephanie A. [5 ]
Randolph, Gregory W. [6 ]
Shin, Jennifer J. [6 ]
机构
[1] Emory Univ, Sch Med, Atlanta, GA USA
[2] Dalhousie Univ, Div Otolaryngol Head & Neck Surg, Dept Surg, Halifax, NS, Canada
[3] Univ Cincinnati, Coll Med, Cincinnati Childrens Hosp Med Ctr, Div Pediat Otolaryngol Head & Neck Surg, Cincinnati, OH USA
[4] Univ Cincinnati, Coll Med, Cincinnati Childrens Hosp Med Ctr, Div Pulm Med, Cincinnati, OH USA
[5] Univ Illinois, Dept Otolaryngol Head & Neck Surg, Chicago, IL USA
[6] Harvard Med Sch, Dept Otolaryngol, 45 Francis St, Boston, MA 02115 USA
关键词
shared decision making; decisional conflict; decisional regret; option grids; decision aids; evidence-based medicine; otolaryngology; pediatric otolaryngology; patient expectations; patient-centered care; health care utilization; GUIDELINE OTITIS-MEDIA; PATIENT; CARE; CONFLICT; KNOWLEDGE; PHYSICIAN; IMPLEMENTATION; PARTICIPATION; COMMUNICATION; CONSULTATIONS;
D O I
10.1177/0194599818756814
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Shared decision making (SDM) is a collaborative process in which patients, families, and clinicians develop a mutually agreed upon treatment plan when more than one reasonable treatment option exists. This cooperative engagement fosters improvements in patient satisfaction, disease management, and outcomes and also has the capacity to promote evidence-based care. Thus, this seventh installment of our Evidence-Based Medicine in Otolaryngology series focuses on SDM. We introduce SDM, including its potential to reduce decisional conflict and decisional regret, when it should be used, its potential benefits, barriers to implementation, and its role in the management of chronic disease and otolaryngological conditions.
引用
收藏
页码:586 / 593
页数:8
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