作　　者： ;

机构地区： 广州医科大学

出　　处： 《医学与哲学：A》 2017年第10期7-11,共5页

摘　　要： 对医疗决策概念理解之不同是造成医疗决策主体争议的根源;患方拥有的只是医疗决策参与权和选择权而不是医疗决策权,应当客观且理性地看待患方作为医疗决策参与主体的作用;共享决策与共同决策有着本质的不同,前者强调的是决策信息的沟通与分享,尤其是患方对医疗决策方案共享的权利,而后者强调的是医疗决策方案的共同制定,尤其是患方的医疗决策权;医生不应因患方参与医疗决策的制定而推卸自己对决策方案所负的注意义务和主体责任,患方参与要求医生应具有更加敏锐的判断力和鉴别力。 The difference of understandings of the concept of medical decision-making is the essential cause of the controversy of medical decision-maker.The patient has the right to participate in medical decision-making and the right to choose rather than the right of making medical decisions.As a subject in medical decision-making,the patient＇s role should be objectively and rationally recognized.Shared decision-making（SDM）is very different from the common decisions.The former emphasizes the information communication and sharing,especially the patients＇ right of sharing medical decisions,while the latter emphasizes the making medical decisions together,especially patients＇ right of medical decision-making.Doctors should not shirk their duty of care and responsibilities because of patient participation in medical decision-making and the patient participation also need doctors to have more keen judgment and discernment.

关 键 词： 医疗决策 共享决策 主体

分 类 号： [R-052]

领　　域： []