The dilemma and countermeasures faced by doctor-patient joint decision-making in high-risk procedures in general surgery
10.12026/j.issn.1001-8565.2024.10.12
- VernacularTitle:普外科高危手术医患共同决策面临的困境及对策
- Author:
Yujia WANG
1
;
Weishuai ZHANG
;
Mei YIN
Author Information
1. 哈尔滨医科大学人文社会科学学院,黑龙江 哈尔滨 150081
- Keywords:
general surgery;
high-risk surgery;
informed consent;
joint decision-making;
clinical decision-making ethics
- From:
Chinese Medical Ethics
2024;37(10):1202-1206
- CountryChina
- Language:Chinese
-
Abstract:
High-risk procedures in general surgery usually carry high risks and uncertainties,and patients may face significant changes in their living and health conditions,which can easily lead to doctor-patient disputes.This paper summarized the obstacles to implementing joint decision-making of doctors and patients in high-risk procedures in general surgery,as well as explored the best way to incorporate joint decision-making into clinical practice.In the decision-making process,general surgeons and patients need to work together to overcome ethical dilemmas such as lack of communication and decision-making abilities,inadequate informed consent and cognitive abilities,as well as institutional and cultural issues.To help patients choose the most suitable treatment method and truly make decisions about high-risk procedures,it is recommended that China strengthen communication skills training for general surgeons,develop and utilize decision-making support tools,and simultaneously supported multiple parties,to provide a good incubation soil for the implementation of joint decision-making of doctors and patients in general surgery.
