英译汉作业1.docVIP

Supporting patients to make the best decisions must be a core component of what it means to be a health professional. 支持患者做出最决定 Imagine an intervention designed to improve patient care that a systematic review has shown to be effective, does not seem to have any serious unwanted effects, has been a central component of health policy for more than a decade, is popular with patients, and which in principle is embraced by most clinicians.想象设计一个旨在提高病人护理的干预，这种干预已被一种系统综述表明是有效的,而且似乎没有任何严重的副作用,这已是十多年来卫生政策的核心内容,并且很受患者欢迎,在原则上也被大部分临床医生所接受。 Surprisingly, perhaps, an intervention that meets these criteria does exist, in the form of shared decision making. This is a process in which patients are encouraged to participate in selecting appropriate treatment or management options on the basis of the best available evidence. 令人惊讶的是,也许,一个符合这些标准的干预确实存在,它以共同决策的形式存在。这是一个鼓励患者在现有最佳证据的基础上参与选择合适的治疗或管理措施的过程。 For many years policy makers in the United Kingdom have advocated a stronger role for patients, most recently in the NHS constitution, and as a central part of the current health reforms, in which “nothing about me without me” has become a defining mantra. Other countries are equally committed to the agenda. In December 2010 a group of 58 international healthcare leaders and researchers published the Salzburg statement on shared decision making, calling for a stronger commitment to what they call “co-production of health.” To mark the signing of the Salzburg statement on shared decision making the BMJ brought together 14 doctors, patients, academics, and policy makers to discuss how to involve patients in decisions about their health. In the linked feature article Anne Gulland reports the outcomes of the discussion. 多年来英国政策制定者提倡患者发挥更大的作用,最近一次是在英国国民健康保险制度的宪法中,它是当前医疗改革的核心内容,在这个过程中“对我没有我”成为一个决定性的口头禅。其他国家也同样致力于这一议程。2010年12月, 58位国际医疗领导人和研究人员发表了关于共同决策的萨尔茨堡声明，呼吁对“卫生合作生产”做出更强承诺。为了纪念萨尔茨堡签署的共同决策的声明，BMJ带来了14医生、患者、学者和政策制定者,讨论如何让病人参与决策他们自己的健康。在安妮格兰德的相关专题文章中报告了讨论结果。 The evidence in favour of shared de