What is a good medical decision? A research agenda guided by perspectives from multiple stakeholders

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• 作者：Jada G. Hamilton ; Sarah E. Lillie ; Dana L. Alden…
• 关键词：Decision making ; Shared decision making ; Decision quality ; Patient ; centered care ; Physician–patient communication ; Patient participation
• 刊名：Journal of Behavioral Medicine
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：40
• 期：1
• 页码：52-68
• 全文大小：
• 刊物类别：Behavioral Science
• 刊物主题：Medicine/Public Health, general; Health Psychology; General Practice / Family Medicine;
• 出版者：Springer US
• ISSN：1573-3521
• 卷排序：40

文摘

Informed and shared decision making are critical aspects of patient-centered care, which has contributed to an emphasis on decision support interventions to promote good medical decision making. However, researchers and healthcare providers have not reached a consensus on what defines a good decision, nor how to evaluate it. This position paper, informed by conference sessions featuring diverse stakeholders held at the 2015 Society of Behavioral Medicine and Society for Medical Decision Making annual meetings, describes key concepts that influence the decision making process itself and that may change what it means to make a good decision: interpersonal factors, structural constraints, affective influences, and values clarification methods. This paper also proposes specific research questions within each of these priority areas, with the goal of moving medical decision making research to a more comprehensive definition of a good medical decision, and enhancing the ability to measure and improve the decision making process.