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Supporting Patients to Make the Best Decisions Must be a core component of what it means to be a health professional 帮助病人做出最佳选择 卫生/医疗专业人士的核心内容 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. 想象一下，设计一种系统综述已证明有效，而且看起来并没有什么严重不良副作用、能够提高病人护理的干预已是十多年来卫生政策的中心内容，并且对病人来说深受欢迎，大部分临床医生原则上是接受的。 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. 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. The evidence in favor of shared decision making is reasonably strong, particularly when compared with that supporting most initiatives aimed at changing behavior. The systematic review includes the results of 55 randomized controlled trials conducted over the past 25 years. It shows that patients involved in shared decision mak