The Role of Patients Shared Decision-Making

被引：30

作者：

Beers, Emily ^{[1
]}

Nilsen, Marci Lee ^{[2
]}

Johnson, Jonas T. ^{[3
,4
,5
]}

机构：

[1] Dept Plast Surg, Sect Palliat Care, 3600 Forbes Ave,Suite 405, Pittsburgh, PA 15213 USA

[2] Univ Pittsburgh, Sch Nursing, Dept Acute & Tertiary Care, 318A Victoria Bldg,3500 Victoria St, Pittsburgh, PA 15261 USA

[3] Univ Pittsburgh, Sch Med, Dept Otolaryngol, Pittsburgh, PA USA

[4] Univ Pittsburgh, Sch Med, Dept Radiat Oncol, Pittsburgh, PA USA

[5] Univ Pittsburgh, Sch Dent Med, Dept Oral & Maxillofacial Surg, Pittsburgh, PA 15260 USA

来源：

OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA | 2017年 / 50卷 / 04期

关键词：

Shared decision-making; Autonomy; Bioethics; Patient-centered care; Head and neck cancer; Physician-patient communication; QUALITY-OF-LIFE; TERMINALLY-ILL PATIENTS; NECK-CANCER PATIENTS; MULTIDISCIPLINARY TEAM MEETINGS; EARLY PALLIATIVE CARE; BREAKING BAD-NEWS; HEALTH-CARE; BREAST-CANCER; INFORMATION SATISFACTION; TREATMENT ADHERENCE;

D O I：

10.1016/j.otc.2017.03.006

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Shared decision-making affords patients and their families the autonomy to make difficult decisions after receiving comprehensive information about medical facts and treatment options. It is essential that patients' values are respected. The essential steps include first informing patients of the need for a decision, then explaining the various facts involved; after which, it is important to elicit patients' preferences and goals. Once the treatment options and outcomes important to patients are identified, an actual decision can be made. This activity is complex and requires a commitment of time and is enhanced through employment of a multidisciplinary team approach.

引用

页码：689 / +

页数：21

共 50 条

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