Research status and future trends of shared decision-making at home and abroad over the past two decades
10.12026/j.issn.1001-8565.2025.05.01
- VernacularTitle:近二十年国内外医患共同决策研究现状及未来趋势
- Author:
Jiexin LI
1
;
Liping GUO
1
Author Information
1. School of Health Humanities， Peking University， Beijing 100191， China
- Publication Type:Journal Article
- Keywords:
shared decision-making;
narrative medicine;
doctor-patient communication
- From:
Chinese Medical Ethics
2025;38(5):543-552
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo analyze the annual publication volume， prolific research institutions， and research hotspots in the field of shared decision-making （SDM） by utilizing CiteSpace software based on a literature review， predicting the future research focus and development direction in this area. MethodsAn advanced search was conducted in the China National Knowledge Infrastructure （CNKI） and the Web of Science Core Collection databases， with the search timeframe limited to 2004—2024. Scientific knowledge mapping analysis was performed using CiteSpace software. ResultsFrom 2004 to 2024， the volume of publications on SDM research has shown an increasing trend both domestically and internationally. In China， SDM research was mainly focused on nursing， oncology， and other fields， whereas internationally， the emphasis was on patient participation， risk communication， and the application of decision-making support tools. In China， research institutions were primarily nursing schools and specific departments in affiliated hospitals， while internationally， SDM research was concentrated in North America. Keyword analysis showed that the research hotspots in China have gradually shifted from technical topics such as decision-making trees to the practical application of patient participation and decision-making support tools， while international research has earlier moved into the areas of SDM and artificial intelligence-supported decision-making tools. ConclusionThe research hotspots of SDM， both domestically and internationally， have gradually shifted from theoretical exploration to clinical practice and technological applications. In the future， with the deeper integration of artificial intelligence and big data technologies， SDM research in China will focus more on optimizing decision-making support systems and enhancing patient participation. Promoting the localization of SDM practices， fostering multidisciplinary collaboration， and strengthening policy support will be key directions for future research.
