A descriptive model of shared decision making derived from routine implementation in clinical practice ('Implement-SDM'): Qualitative study.

Natalie Joseph-Williams,Denitza Williams,Fiona Wood,Amy Lloyd,Katherine Brain,Nerys Thomas, Alison Prichard, Annwen Goodland,Helen McGarrigle,Helen Sweetland,Adrian Edwards

Patient Education and Counseling（2019）

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摘要

•We aimed to understand how SDM is actually enacted in routine clinical settings.•SDM is more complex than portrayed in previous models.•Our descriptive model (‘Implement-SDM’) reflects SDM by skilled clinicians, adapted for use in routine settings.

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关键词

Patient centred care,Patient involvement,Shared decision making,Skills training,Breast cancer,Chronic kidney disease

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