Research progress on doctor-patient shared decision-making in chronic disease management
10.12026/j.issn.1001-8565.2026.07.15
- VernacularTitle:慢病管理领域医患共享决策的进展研究
- Author:
Mengge ZHANG
1
;
Xiuwen HE
1
;
Haohui SHEN
1
;
Yilong YANG
1
;
Yumei WANG
2
Author Information
1. School of Public Administration， Hangzhou Normal University， Hangzhou 311121， China
2. General Medicine Hospice Ward， Shengjing Hospital of China Medical University， Shenyang 110022， China
- Publication Type:Journal Article
- Keywords:
doctor-patient shared decision-making;
chronic disease management;
primary health care
- From:
Chinese Medical Ethics
2026;39(7):941-950
- CountryChina
- Language:Chinese
-
Abstract:
Utilizing CiteSpace and VOSviewer， a bibliometric analysis was conducted on 1，496 articles from the China National Knowledge Infrastructure， Chinese Science and Technology periodical database， Wanfang data， and the Web of Science database spanning 2006 to 2025， systematically revealing the evolutionary patterns of knowledge regarding doctor‐patient shared decision‐making （SDM） in the field of chronic disease management. The research indicated that the number of publications at home and abroad displayed an overall upward trend， yet their development paths differed significantly. International research has formed a “core-periphery” cooperation network， with research hotspots focusing on the improvement of decision-making quality， optimization of decision-making aids， application in primary care settings， and ethical issues in decision-making. Domestic research， driven by policies， developed rapidly and paid more attention to coverage improvement and cultural adaptation， but notable gaps remained in cross-institutional cooperation and tool localization. Currently， China’s practice still encountered multiple challenges， including restricted patients’ participation willingness due to “family-oriented” cultural values， inadequate localization of decision-making aids， and imperfect decision-making support systems in primary healthcare institutions. On this basis， this paper put forward localized suggestions from three dimensions， including cultural adaptation， technological innovation， and institutional coordination. Through multi-dimensional strategies such as advocating for constructing a family-empowered decision-making model， developing decision-making aids integrated with the dialectical logic of traditional Chinese medicine， and promoting the linkage between SDM implementation and the reform of medical insurance payment methods， it was expected to connect international experience with China’s practice. This aimed to provide references for building a chronic disease decision-making model with Chinese characteristics and contribute to the “patient-centered” medical transformation.
