摘要
医患共同决策(shared decision making,SDM)作为新型的诊疗决策模式,能够有效解决胸部肿瘤诊疗过程中患者的依从性问题,平衡医患双方的地位,逐渐在胸外科临床实践中得到重视和应用。将SDM应用于胸部肿瘤诊疗过程中有利于提升医生的诊疗水平,缓解责任压力;减轻患者的心理压力,提高患者的依从性;提高医信力并减少医患冲突。由于患者自身的医学素养和自主性有限,医患比例失衡导致的诊疗时间紧张,同时由于已有的研究存在样本量有限等原因尚不能证明采用SDM模式对于胸部肿瘤的治疗有明确的增益,推行SDM模式仍面临阻力。未来通过开发辅助决策系统以及提升医生的人文关怀能力将更有利于推动SDM模式在胸外科的实际应用。
As a new diagnosis and treatment decision-making model,shared decision making(SDM)can effectively solve the problem of patient compliance in the diagnosis and treatment of thoracic tumors,balance the status of both doctors and patients,and gradually get attention and application in the clinical practice of thoracic surgery.The application of SDM in the diagnosis and treatment of thoracic tumors is conducive to improve doctors'diagnosis and treatment level and alleviating the pressure of responsibility,reduce patients'psychological pressure and improve patients'compliance and also improve medical trust and reduce doctor-patient conflict.Due to the limited medical literacy and autonomy of patients,the time for diagnosis and treatment is short due to the imbalance of doctor-patient ratio.Meanwhile,due to the limited sample size of existing studies,SDM model cannot be proved to have a clear gain for the treatment of thoracic tumors,and the implementation of SDM model still faces resistance.In the future,the development of auxiliary decision-making system and the improvement of doctors'humanistic care ability will be conducive to promote the practical application of SDM model in thoracic surgery.
作者
陈伟皓
张孟尼
沈诚
Weihao CHEN;Mengni ZHANG;Cheng SHEN(West China School of Medicine,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Pathology,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Thoracic Surgery,West China Hospital,Sichuan University,Chengdu 610041,China)
出处
《中国肺癌杂志》
CAS
CSCD
北大核心
2024年第2期133-137,共5页
Chinese Journal of Lung Cancer
基金
成都市科技局重点研发支撑计划(No.2022-YF05-01560-SN)资助。
关键词
医患关系
共同决策
胸外科
胸部肿瘤
Doctor-patient relationship
Shared decision making
Department of Thoracic Surgery
Thoracic cancer
作者简介
通信作者:沈诚,E-mail:shencheng568_hx@163.com。
