Abstract：
Shared decision-making (SDM) is a collaborative effort between a physician and a patient to make an informed clinical decision, as defined by each patient\'s preferences and values. Shared decision-making is particularly used in areas of clinical equipoise or preference-sensitive conditions, which are common in hand surgery. Although there is increased interest in SDM across health care, hand surgeons receive little formal training on SDM. In this review, we explore existing barriers to SDM in hand surgery and provide a framework for participating in SDM discussions.
摘要：
共享决策（SDM）是医生和患者之间的协作努力，以做出明智的临床决策。由每个患者的偏好和价值观定义。共享决策特别用于临床平衡或偏好敏感的疾病领域。这在手外科很常见。尽管医疗保健领域对SDM的兴趣越来越大，手外科医生很少接受有关SDM的正式培训。在这次审查中,我们探讨了手外科中SDM的现有障碍，并为参与SDM讨论提供了框架。
