Shared Decision-Making and Patient Empowerment in Preventive Cardiology

被引：78

作者：

Kambhampati, Swetha ^{[1
]}

Ashvetiya, Tamara ^{[1
]}

Stone, Neil J. ^{[2
]}

Blumenthal, Roger S. ^{[1
]}

Martin, Seth S. ^{[1
]}

机构：

[1] Johns Hopkins Univ, Ciccarone Ctr Prevent Heart Dis, 600 N Wolfe St,Carnegie 591, Baltimore, MD 21287 USA

[2] Northwestern Univ, McGaw Med Ctr, Chicago, IL 60611 USA

来源：

CURRENT CARDIOLOGY REPORTS | 2016年 / 18卷 / 05期

关键词：

Shared decision-making; Patient empowerment; Preventive cardiology; Cardiovascular prevention; Atherosclerotic cardiovascular disease; EVIDENCE-BASED MEDICINE; ACTIVATION MEASURE PAM; RANDOMIZED-TRIAL; SELF-MANAGEMENT; OUTCOMES; PORTALS; DISEASE; HEALTH; RISK; INTERVENTION;

D O I：

10.1007/s11886-016-0729-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Shared decision-making, central to evidence-based medicine and good patient care, begins and ends with the patient. It is the process by which a clinician and a patient jointly make a health decision after discussing options, potential benefits and harms, and considering the patient's values and preferences. Patient empowerment is crucial to shared decision-making and occurs when a patient accepts responsibility for his or her health. They can then learn to solve their own problems with information and support from professionals. Patient empowerment begins with the provider acknowledging that patients are ultimately in control of their care and aims to increase a patient's capacity to think critically and make autonomous, informed decisions about their health. This article explores the various components of shared decision-making in scenarios such as hypertension and hyper-lipidemia, heart failure, and diabetes. It explores barriers and the potential for improving medication adherence, disease awareness, and self-management of chronic disease.

引用

页数：7

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