现在是时候承认共享决策是一个复杂的干预
Joanne E Butterworth1, Karen Mattick1, Suzanne H Richards2
1Department of Health and Community Sciences, University of Exeter, Exeter, UK.
Patient education and counseling
|December 11, 2025
概括
分享决策 (SDM) 最好被理解为一个复杂的干预,而不是简单的互动. 认可SDM SDM是什么意思
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 以患者为中心的护理
背景情况:
- 已建立的共享决策 (SDM) 模型不足以满足各种患者需求和更广泛的健康影响.
- 目前的模型掩盖了从SDM到积极的健康和医疗保健结果的途径.
- 个性化医疗需要对SDM有更细致的理解.
研究的目的:
- 将共享决策 (SDM) 重新构想为一个复杂的干预.
- 倡导对SDM的更广泛的理解,超越患者与从业人员的互动.
- 突出在SDM中需要特定于背景的定制和多层次的影响.
主要方法:
- 现有SDM模型的概念分析.
- 复杂干预框架的应用.
- 考虑健康影响的社会生态模型.
主要成果:
- SDM涉及多个相互作用的组件,受到个人,人际,组织,社会和政策层面的影响.
- SDM途径是非线性的,并且取决于环境.
- SDM组件可用于个性化护理和特定人群的结果.
结论:
- 分享决策 (SDM) 必须被认为是一种复杂的干预.
- 可持续发展目标的概念化应包括整个社会生态模型的影响.
- 开发程序理论和标准化结果对于评估SDM有效性和告知政策至关重要.
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