2021年NICE指南医患共同决策.pdfVIP

Shareddecision making 医患共同决策 Therecommendationsinthisguidelinerepresenttheview ofNICE,arrived at after careful consideration oftheevidenceavailable.When exercisingtheirjudgement,professionalsand practitionersareexpectedtotakethisguidelinefully intoaccount,alongsidetheindividualneeds, preferencesandvaluesoftheirpatientsorthepeopleusingtheir service.It isnotmandatoryto applytherecommendations,andtheguidelinedoesnot overridetheresponsibilitytomake decisionsappropriatetothecircumstancesoftheindividual,in consultationwiththem andtheir familiesandcarersor guardian. 本指南中的推荐建议是在参考现有的最佳证据的基础上所得出的。当进行判断时，医 疗专业人员应该充分考虑本指南中的推荐意见，以及患者和应用服务的人群的个人需求、 偏好和价值观。我们不会强制推荐使用这些建议，而且该指南的效用仅为辅助个人及其家 人、看护人或监护人协商后作出适合个人情况的决定，不会凌驾于患者个人及家属价值观 之上。 Local commissionersandprovidersofhealthcarehavearesponsibilitytoenabletheguidelineto beappliedwhen individualprofessionalsandpeopleusing serviceswishtouseit.They shoulddo sointhecontext oflocal andnationalprioritiesfor fundingand developing services,andin light oftheir dutiestohavedueregardtotheneedtoeliminateunlawful discrimination,toadvance equality ofopportunity andtoreducehealth inequalities.Nothinginthisguideline shouldbe interpretedin away thatwouldbeinconsistentwith complyingwiththoseduties. 当专业人员和服务对象希望使用本指南时，当地指南推动者和医疗保健提供者有传播 和推动本指南应用的责任。它们应优先被应用于在地方和国家层面立项和发展相关服务， 并根据其适用范围适当将其应用于推动消除非法歧视、促进机会平等和减少健康不平等等 方面。本准则中的全部内容都不应以与以上这些职责不一致的方式加以解读。 Commissionersandprovidershavearesponsibilitytopromotean environmentally sustainable health and care system and shouldassessandreducetheenvironmental impact ofimplementing NICErecommendationswhereverpossible. 指南推动者和提供者都有责任促进提高卫生和保健系统环境可持续性，并应尽可能评 估和减少实施NICE推荐意见对环境的影响。 Contents 目录 Overview概述 4 Whoisit for?面向人群 4 Recommendations推荐意见 5 1.1Embedding shared decisionmakingat an organisati