摘要
临床决策模式包括家长式决策、知情决策和共同决策,理想的模式应该是医患双方参与的共同决策模式。临床决策具有高度复杂性,受多种因素的影响,如个人性格、年龄、婚姻状态、文化程度、宗教信仰、价值取向、经济费用、医疗风险、病情程度、社会保险等。肿瘤科医生应该在可能的情况下,给患者提供最准确的、获益最大的治疗方案,充分告知患者及家属治疗利弊,和患者一起做出正确的临床抉择。
The model of medical decision-making includes parental decision-making, informed decision-making and share decision-making, and the ideal model should be the share decision-making mode of both doctors and patients.Medical decision-making is highly complex, influenced by many factors, such as personality, age, marital status, educational level, religious belief, race, family, value orientation, economic cost, medical risk, illness degree, social insurance, social support and so on.Oncologists should provide patients with the most accurate and beneficial treatment options, fully informing patients and their families about the pros and cons, and making the right medical choices together with the patient.
作者
杜泽东
蒙荣钦
王阳
何晓凤
李秋
DU Ze-dong MENG Rong-qin WANG Yang et al(Department of Medical Oncology , 363 Hospital, Chengdu 610041, China)
出处
《医学与哲学（B）》
2017年第7期52-55,共4页
Medicine & Philosophy(B)
基金
2016年三六三医院院级课题项目(2016FH012)
关键词
恶性肿瘤
临床决策
影响因素
neoplasms
medical decision-making
factors
