期刊
JOURNAL OF LAW MEDICINE & ETHICS
卷 38, 期 1, 页码 85-97出版社
WILEY-BLACKWELL PUBLISHING, INC
DOI: 10.1111/j.1748-720X.2010.00469.x
关键词
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Clinical evidence suggests that many patients undergo surgery that they would decline if fully informed. Failure to communicate the relevant risks, benefits, and alternatives of a procedure violates medical ethics and wastes medical resources. Integrating shared decision-making, a method of communication between provider and patient, into medical decisions can satisfy physicians' ethical obligations and reduce unwanted procedures. This article proposes a three-step process for implementing a nationwide practice of shared decision-making: (1) create model integration programs; (2) provide legal incentives to ease the transition; and (3) incorporate shared decision-making into medical necessity determinations.
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