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Shared Decision Making: A Model for Clinical Practice

delete2012-05-23
delete2.8K
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G
Glyn Elwyn *
D
Dominick L. Frosch
R
Richard Thomson
N
Natalie Joseph‐Williams
A
Amy Lloyd
P
Paul Kinnersley
E
Emma Cording
D
Dave Tomson
C
Carole Dodd
S
Stephen Rollnick
A
Adrian Edwards
M
Michael J. Barry
DOI:10.1007/s11606-012-2077-6delete
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摘要

摘要

En 中文
The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. The model has three steps: a) introducing choice, b) describing options, often by integrating the use of patient decision support, and c) helping patients explore preferences and make decisions. This model rests on supporting a process of deliberation, and on understanding that decisions should be influenced by exploring and respecting what matters most to patients as individuals, and that this exploration in turn depends on them developing informed preferences.
Keyword:
shared decision making
patient centered care
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期刊

Journal of General Internal Medicine 封面图
Journal of General Internal Medicine
IF:
4.2
论文数:
1.3W
被引数:
3.2W

机构

N
newcastle university - uk
学者数:
2.9W
论文数: 2.6W
被引数: 39
H
Harvard University
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论文数: 22.0W
被引数: 28.7W
P
palo alto medical foundation research institute
学者数:
509
论文数: 473
被引数: 2
U
university of california los angeles
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5.3W
论文数: 4.2W
被引数: 89
C
Cardiff University
学者数:
2.7W
论文数: 2.5W
被引数: 3.5W
N
Newcastle upon Tyne Hospitals NHS Foundation Trust
学者数:
4.0K
论文数: 2.6K
被引数: 3.6K
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