PDF(Pubmed)
Abstract：
UNASSIGNED: Across the practice of allergy and clinical immunology, disruptive innovations have accelerated the adoption of shared decision-making (SDM) to improve the health of patients and populations, particularly with regard to food allergy prevention and management of food allergy and anaphylaxis.
UNASSIGNED: A narrative review was performed to describe recent innovations in shared decision-making, risk communication, and food allergy.
UNASSIGNED: Several challenges, primarily related to the coronavirus disease 2019 (COVID-19) pandemic and misinformation campaigns, have catalyzed adaptations to evolve clinical care. Recent pressures have facilitated the rapid adoption of telemedicine. In 2023, many allergist/immunologists routinely incorporate both in-person and virtual visits to contextually deliver value-based care to each patient. SDM may occur in a hybrid model that incorporates both in-person and virtual encounters, with many patients experiencing benefit from a combination approach. This may be facilitated by leveraging previsit web-based SDM tools. Whether in person or by telemedicine, effective risk communication to avoid cognitive overload while appreciating population variation in numeracy is key to competent implementation of SDM. Misinformation continues to disproportionately harm patients who belong to groups that encourage denial of evidence-based medical recommendations and COVID-19 vaccination intent correlating with sociopolitical factors. Still, strategies to address misinformation that leverage empathy, respect, and expertise can help to mitigate these effects. Physician wellness is a key component to realization of the Quadruple Aim of health care, and the use of positive framing and appreciative inquiry can help to optimize outcomes and improve value in health care.
UNASSIGNED: SDM is an important component to consider when incorporating recent innovations in allergy and clinical immunology care, particularly in the setting of contextual and conditional medical recommendations. Effective risk communication is critical to SDM that is truly reflective of patient goals and preferences, and can be facilitated through in-person encounters, telemedicine, and hybrid models. It is important to foster physician wellness as a component of the Quadruple Aim, particularly in the recent pandemic climate of misinformation and denial of evidence-based medicine within large groups of society.
UNASSIGNED: A narrative review was performed to describe recent innovations in shared decision-making, risk communication, and food allergy.
UNASSIGNED: Several challenges, primarily related to the coronavirus disease 2019 (COVID-19) pandemic and misinformation campaigns, have catalyzed adaptations to evolve clinical care. Recent pressures have facilitated the rapid adoption of telemedicine. In 2023, many allergist/immunologists routinely incorporate both in-person and virtual visits to contextually deliver value-based care to each patient. SDM may occur in a hybrid model that incorporates both in-person and virtual encounters, with many patients experiencing benefit from a combination approach. This may be facilitated by leveraging previsit web-based SDM tools. Whether in person or by telemedicine, effective risk communication to avoid cognitive overload while appreciating population variation in numeracy is key to competent implementation of SDM. Misinformation continues to disproportionately harm patients who belong to groups that encourage denial of evidence-based medical recommendations and COVID-19 vaccination intent correlating with sociopolitical factors. Still, strategies to address misinformation that leverage empathy, respect, and expertise can help to mitigate these effects. Physician wellness is a key component to realization of the Quadruple Aim of health care, and the use of positive framing and appreciative inquiry can help to optimize outcomes and improve value in health care.
UNASSIGNED: SDM is an important component to consider when incorporating recent innovations in allergy and clinical immunology care, particularly in the setting of contextual and conditional medical recommendations. Effective risk communication is critical to SDM that is truly reflective of patient goals and preferences, and can be facilitated through in-person encounters, telemedicine, and hybrid models. It is important to foster physician wellness as a component of the Quadruple Aim, particularly in the recent pandemic climate of misinformation and denial of evidence-based medicine within large groups of society.
摘要：
■在过敏和临床免疫学的实践中，颠覆性创新加速了共享决策（SDM）的采用，以改善患者和人群的健康，特别是关于食物过敏的预防和食物过敏和过敏反应的管理。
■进行了叙述性审查，以描述共享决策中的最新创新，风险沟通,和食物过敏。
■几个挑战，主要与2019年冠状病毒病(COVID-19)大流行和错误信息运动有关，催化适应发展临床护理。最近的压力促进了远程医疗的迅速采用。在2023年，许多过敏症专科医生/免疫学家通常会进行面对面和虚拟访问，以便为每位患者提供基于价值的护理。SDM可能会出现在混合模型中，该模型包含了面对面和虚拟相遇，许多患者从组合方法中受益。这可以通过利用先前基于web的SDM工具来促进。无论是亲自还是远程医疗，有效的风险沟通，以避免认知过载，同时了解人口差异的算术是有效实施SDM的关键。错误信息继续不成比例地伤害属于鼓励拒绝循证医学建议和与社会政治因素相关的COVID-19疫苗接种意图的群体的患者。尽管如此，解决利用同理心的错误信息的策略，尊重,和专业知识可以帮助减轻这些影响。医师健康是实现医疗保健四重目标的关键组成部分，使用积极的框架和赞赏的询问可以帮助优化结果并提高医疗保健的价值。
■在纳入过敏和临床免疫学护理方面的最新创新时，SDM是需要考虑的重要组成部分。特别是在上下文和有条件的医疗建议的背景下。有效的风险沟通对于真正反映患者目标和偏好的SDM至关重要。可以通过面对面的接触来促进，远程医疗，和混合模型。重要的是要培养医生的健康作为四重目标的组成部分，特别是在最近的大流行气候的错误信息和拒绝循证医学的社会大群体。
■进行了叙述性审查，以描述共享决策中的最新创新，风险沟通,和食物过敏。
■几个挑战，主要与2019年冠状病毒病(COVID-19)大流行和错误信息运动有关，催化适应发展临床护理。最近的压力促进了远程医疗的迅速采用。在2023年，许多过敏症专科医生/免疫学家通常会进行面对面和虚拟访问，以便为每位患者提供基于价值的护理。SDM可能会出现在混合模型中，该模型包含了面对面和虚拟相遇，许多患者从组合方法中受益。这可以通过利用先前基于web的SDM工具来促进。无论是亲自还是远程医疗，有效的风险沟通，以避免认知过载，同时了解人口差异的算术是有效实施SDM的关键。错误信息继续不成比例地伤害属于鼓励拒绝循证医学建议和与社会政治因素相关的COVID-19疫苗接种意图的群体的患者。尽管如此，解决利用同理心的错误信息的策略，尊重,和专业知识可以帮助减轻这些影响。医师健康是实现医疗保健四重目标的关键组成部分，使用积极的框架和赞赏的询问可以帮助优化结果并提高医疗保健的价值。
■在纳入过敏和临床免疫学护理方面的最新创新时，SDM是需要考虑的重要组成部分。特别是在上下文和有条件的医疗建议的背景下。有效的风险沟通对于真正反映患者目标和偏好的SDM至关重要。可以通过面对面的接触来促进，远程医疗，和混合模型。重要的是要培养医生的健康作为四重目标的组成部分，特别是在最近的大流行气候的错误信息和拒绝循证医学的社会大群体。
