文章摘要
陈鸣声.医疗共同决策的内涵与外延:社区慢性病服务应用研究[J].南京医科大学学报(社会科学版),2021,(2):101~104
医疗共同决策的内涵与外延:社区慢性病服务应用研究
Connotation and extension of shared medical decision making: application on the patients with chronic diseases in the community setting
投稿时间:2021-01-20  
DOI:10.7655/NYDXBSS20210201
中文关键词: 共同决策  社区  慢性病  医疗方案  沟通交流
英文关键词: shared decision making  community  chronic diseases  medical scheme  communication
基金项目:国家自然科学基金面上项目“基于安德森卫生服务利用模型的社区慢病个性化健康服务模式构建与效果评价”(71874086);江苏高校哲学社会科学研究基金项目“2型糖尿病防治的卫生经济学评价与策略构建”(2017SJB0266)
作者单位
陈鸣声 南京医科大学医政学院 江苏 南京 211166 
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中文摘要:
      医疗共同决策是兼顾医生专业知识和患者医疗偏好的一种医疗决策模式。通过共同决策制定临床诊疗方案已经在国际和国内形成统一共识,但在国内实践较少,而在社区慢性病领域则更为少见。因此,文章在传统的医疗共同决策内涵的基础上,进一步扩展了“医—患”共同决策和“医—医”共同决策,论证在社区慢性病医疗服务领域进行共同决策的可行性及其价值,并论述在社区进行慢性病服务共同决策的具体实施做法。
英文摘要:
      Shared medical decision making takes into account both the professional knowledge of doctors and the medical preferences of patients. There is a consensus that formulating clinical diagnosis and treatment through shared decision making at home and abroad, but there is less practice in China, and it is rare in chronic diseases in the community setting. Therefore, based on the connotation of traditional shared medical decision?making, this study further expanded the “doctor?patient” shared decision?making and the “doctor?doctor” shared decision?making, prove the feasibility and value of shared decision making for the patients with chronic diseases in the community setting, and discussed its implementation in the community chronic disease services.
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