对骨科的共享决策和个性化治疗的洞察 - - 定性系统性审查
Dheeraj Makkar1, Ravi Sauhta2, Surekha Jaganmohan3
1Orthopaedic Oncology Fellow, Emory University, Atlanta, 30307, GA, USA.
Journal of clinical orthopaedics and trauma
|April 18, 2025
概括
以患者为中心的护理正在改变医疗保健,赋予个人在医疗决策中的权力. 在关节置换手术中,共享决策 (SDM) 模型对于将治疗与患者价值观协调至关重要.
科学领域:
- 医疗保健研究的研究.
- 医疗决策的制定能力
- 患者为中心的护理
背景情况:
- 医生与患者的关系已经从父权主义转变为以患者为中心,特别是在印度.
- 互联网接入和患者教育赋予个人在医疗保健选择中的权力.
- 这种演变凸显了对患者自主权的日益强调.
研究的目的:
- 系统地审查关于共享决策 (SDM) 的文献.
- 检查SDM模型在全球卫生保健系统中的整合和影响.
- 分析不同的患者护理模式,包括父权主义,知情和SDM.
主要方法:
- 使用主要的科学数据库 (PubMed,Scopus,Web of Science,Google Scholar) 进行了系统审查.
- 纳入标准集中在关于SDM的英语出版物,包括RCT和决策辅助研究.
- 排除标准删除了关于预先指示和生活方式决定的研究.
主要成果:
- 全球越来越多地采用共享决策 (SDM) 模式.
- 医疗保健系统正在整合患者权利和决策工具.
- 包括SDM在内的各种患者护理模式已被评估其好处和缺点.
结论:
- 患者参与医疗决策正在显著发展.
- 共享决策 (SDM) 对于将医疗治疗与个体患者的偏好和价值观保持一致至关重要.
- 这项研究强调了SDM在现代医疗保健中的重要性.
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