摘要
医患共同决策作为西方较常见的临床决策模式,对减少决策失误和增进医患关系有着重要作用,但中国传统社会背景下患者的家庭结构、疾病认知度与就医模式等严重影响着医患关系和决策自主性;在医生与患者的责任分担上,专业壁垒的存在让医患共同决策可减轻医生决策压力的理论设定受到质疑,患者对医生既信任又怀疑的矛盾心境也使医生的角色进退两难。因此,医患共同决策模式作为较理想的决策模式在中国临床实践中还有待进一步探索与完善。
Shared decision-making between doctors and patients is a relatively common and reasonable model of clinical decision- making in Western clinical practice, which plays an important role in reducing decision-making errors and improving doctor-patient relationship. However, the patient family structure, disease awareness and hospitalization model, under the traditional Chinese social background, seriously affect the doctor-patient relationship and decision-making autonomy. In the sharing of responsibilities between doctors and patients, the existence of professional harriers has challenged the theoretical setting of shared decision- making, which can alleviate the pressure of doctors＇ decision-making. Besides, the contradictory mood of patients who trust and suspect doctors also put doctors in a dilemma. Therefore, as an ideal decision model, the shared decision-making between doctors and patients still needs to be further explored and perfected in China.
作者
王金华
王雪云
WANG Jin-hua;WANG Xue-yun(Department of Gynecologic Tumor, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009, China)
出处
《医学与哲学（A）》
2018年第4期7-9,共3页
Medicine & Philosophy:Humanistic & Social Medicine Edition
关键词
共同决策
医患关系
患者自主性
shared decision-making, doctor-patient relationship, patient autonomy
