谈论医疗风险的危险,陷和可能性
S T Bogardus1, E Holmboe, J F Jekel
1Department of Internal Medicine, Yale University School of Medicine, New Haven, Conn 06504, USA. bogardus@gwpo.ynhh.com
JAMA
|March 23, 1999
概括
医生必须有效地向患者传达医疗风险,尊重患者的自主权和知情同意. 使用各种形式的定性,定量和图形辅助工具可以提高患者对治疗风险和益处的理解.
科学领域:
- 医学伦理 医学伦理
- 卫生沟通 卫生沟通
- 患者教育 患者教育
背景情况:
- 医生有责任与患者讨论医疗风险,维护自主权和知情同意.
- 由于知识差距,信息数量不确定性和患者理解困难,传达医疗风险具有挑战性.
- 有效的风险沟通需要讨论干预的风险和不干预的风险.
研究的目的:
- 描述医疗风险信息的特征.
- 将风险信息传达给患者的主要挑战概述出来.
- 建议风险信息以可理解的格式呈现的方法.
主要方法:
- 关于医学风险沟通的文献综述.
- 分析传递复杂医疗信息所面临的挑战.
- 综合策略,以改善患者对风险的理解.
主要成果:
- 风险信息具有固有的特征,使沟通复杂化.
- 关键的挑战包括医生的知识差距和患者理解的变化.
- 建议使用定性,定量和图形格式的组合.
结论:
- 对医疗风险的明确沟通对于患者做出明智决策至关重要.
- 根据个体患者的需求量身定制沟通格式,可以提高理解力.
- 改善风险沟通支持医生作为值得信赖的顾问的角色.
关键词:
专业患者关系 专业患者关系相关概念视频
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