Abstract：
Shared decision making is a patient-centered clinical decision-making process that allows healthcare workers to share the existing empirical medical outcomes with patients before making critical decisions. This study aims to explore a project in a medical center of developing a mobile SDM in Taiwan. Chi Mei Medical Center developed the mobile SDM platform and conducted a survey of evaluation from healthcare workers. A three-tier platform that based on cloud infrastructure with seven functionalities was developed. The survey revealed that healthcare workers with sufficient SDM knowledge have an antecedent effect on the three perceptive factors of acceptance of mobile SDM. Resistance to change and perceived ease of use show significant effect on behavioral intention. We provided a comprehensive architecture of mobile SDM and observed the implementation in a medical center. The majority of healthcare workers expressed their acceptancem; however, resistance to change still present. It is, therefore, necessary to be eliminated by continuously promoting activities that highlight the advantages of the Mobile SDM platform. In clinical practice, we validated that the mobile SDM provides patients and their families with an easy way to express their concerns to healthcare workers improving significantly their relationship with each other.
摘要：
共享决策是以患者为中心的临床决策过程，允许医护人员在做出关键决策之前与患者共享现有的经验医疗结果。本研究旨在探索台湾医疗中心开发移动SDM的项目。奇美医疗中心开发了移动SDM平台，并对医护人员进行了评估调查。开发了一个基于具有七个功能的云基础架构的三层平台。调查显示，具有足够的SDM知识的医护人员对接受移动SDM的三个感知因素具有先行作用。抵抗变化和感知易用性对行为意图有显著影响。我们提供了移动SDM的全面架构，并观察了医疗中心的实施情况。大多数医护人员表达了他们的接受;然而，变化的阻力仍然存在。是的,因此,必须通过不断推广突出移动SDM平台优势的活动来消除。在临床实践中,我们验证了移动SDM为患者及其家属提供了一种简单的方式来向医护人员表达他们的担忧,从而显著改善了他们之间的关系.
