通过"专业驱动的患者或代孕者自由裁量区"模式的共享决策及其在急症护理中的应用
1Southlake Health, Newmarket, Canada. jlandry@southlake.ca.
概括
共享决策 (SDM) 是一种医疗标准,但现有的模型面临挑战. 本文介绍了专业驱动的患者或代孕裁量区 (PD-ZPSD) 模型,以解决临床实践中的这些局限性.
科学领域:
- 医学伦理 医学伦理
- 临床决策 - 临床决策
- 卫生政策 卫生政策
背景情况:
- 共享决策 (SDM) 越来越多地被认为是医疗保健的黄金标准.
- 现有的SDM模型存在局限性,包括缺乏对利用的共识,实际约束和框架问题.
- 之前的工作引入了专业驱动的患者或代孕裁量区 (PD-ZPSD) 模型.
研究的目的:
- 扩大PD-ZPSD模型的好处.
- 为了证明PD-ZPSD模型在急性护理环境中的功能.
- 解决当前共享决策方法的局限性.
主要方法:
- 这是PD-ZPSD模型的概念扩展.
- 在急性护理病例研究中应用PD-ZPSD模型.
- 分析SDM挑战,包括危害门和能力问题.
主要成果:
- PD-ZPSD模型为SDM提供了更全面的方法.
- 案例研究说明了PD-ZPSD模型在急性护理中的实际应用和好处.
- 该模型解决了现有SDM框架的特定限制.
结论:
- PD-ZPSD模型为共享决策提供了一个可辩护和功能性的框架.
- 该模型通过解决临床环境中的实际和伦理复杂性来增强SDM.
- 建议进一步应用PD-ZPSD模型,以改善以患者为中心的护理.
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