目前的共享决策模式是不够的:"专业驱动的患者或代孕者自由裁量区"提供了一条可辩护的前进之路
1Ethics Department, Southlake Regional Health Centre, 596 Davis Drive, Newmarket, ON, Canada.
Patient education and counseling
|July 16, 2023
概括
这项研究批判性地检查了共享决策 (SDM),提出了一种新的专业驱动的患者或代理裁量区模型. 这种方法解决了实施的挑战,并确保从道德上合理的治疗选择.
科学领域:
- 医疗保健道德 医疗保健道德
- 临床决策 - 临床决策
- 以患者为中心的护理
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要,但面临实际实施挑战.
- 现有的SDM模型经常在定义角色和确保道德上合理的选择方面扎.
- 需要对当前的SDM概念进行批判性审查,以改善其应用.
研究的目的:
- 批判性地研究共享决策 (SDM) 的概念.
- 确定阻碍SDM在实践中成功实施的挑战.
- 提出一种新的SDM模型,克服现有的局限性.
主要方法:
- 审查和分析现有的共享决策模式.
- 探索当前对SDM的理解和定义.
- 开发一个新的SDM框架:专业驱动的患者或代孕者自由裁量区.
主要成果:
- 显著的挑战阻碍了现有SDM模型的实际实施.
- 拟议的专业驱动的患者或代理裁量区模型提供了一种新的方法.
- 该模型采用危害值方法,与最佳利益标准不同.
结论:
- 专业驱动的患者或代理裁量区模型增强了SDM参与者角色的定义.
- 这种模式确保所追求的治疗方法在道德上是可以辩护的.
- 它有效地解决了许多阻碍其他SDM模型成功实施的挑战.
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