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Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica / Shared decision making in patients with diabetes mellitus
Serrano, Valentina; Larrea-Mantilla, Laura; Rodríguez-Gutiérrez, René; Spencer-Bonilla, Gabriela; Málaga, Germán; Hargraves, Ian; Montori, Víctor M.
Afiliação
  • Serrano, Valentina; Mayo Clinic. Department of Medicine. Division of Endocrinology, Diabetes, Metabolism and Nutrition. Knowledge and Evaluation Research Unit. US
  • Larrea-Mantilla, Laura; Mayo Clinic. Department of Medicine. Division of Endocrinology, Diabetes, Metabolism and Nutrition. Knowledge and Evaluation Research Unit. US
  • Rodríguez-Gutiérrez, René; Mayo Clinic. Department of Medicine. Division of Endocrinology, Diabetes, Metabolism and Nutrition. Knowledge and Evaluation Research Unit. US
  • Spencer-Bonilla, Gabriela; Mayo Clinic. Department of Medicine. Division of Endocrinology, Diabetes, Metabolism and Nutrition. Knowledge and Evaluation Research Unit. US
  • Málaga, Germán; Mayo Clinic. Department of Medicine. Division of Endocrinology, Diabetes, Metabolism and Nutrition. Knowledge and Evaluation Research Unit. US
  • Hargraves, Ian; Mayo Clinic. Department of Medicine. Division of Endocrinology, Diabetes, Metabolism and Nutrition. Knowledge and Evaluation Research Unit. US
  • Montori, Víctor M; Mayo Clinic. Department of Medicine. Division of Endocrinology, Diabetes, Metabolism and Nutrition. Knowledge and Evaluation Research Unit. US
Rev. méd. Chile ; 145(5): 641-649, mayo 2017. ilus, tab
Article em Es | LILACS | ID: biblio-902521
Biblioteca responsável: CL1.1
ABSTRACT
Patients with diabetes mellitus often have several medical problems and carry a burden imposed by their illness and treatment. Health care often ignores the values, preferences and context of patients, leading to treatments that do not fit into patients’ overwhelmed lives. Shared Decision Making (SDM) emerges as a way to answer the question “What’s best for the patient?”. SDM promotes an empathic conversation between patients and clinicians that integrates the best evidence available with their values, preferences and context. We discuss three SDM approaches for patients with diabetes one focused on sharing information, another on making choices, and a third one on helping patients and clinicians to talk about how to address the problems of living with diabetes and its comorbidities. Despite the benefits demonstrated in studies conducted in the U.S. and Europe, the implementation of SDM continues to be a challenge. In Latin America, healthcare and socio-economic conditions render the implementation of SDM more challenging. Research aimed to respond to this challenge is necessary. Meanwhile, clinicians can practice SDM by sharing evidence-based information, giving voice to patients’ values and preferences in making choices, and creating empathic conversations aimed at decisions aligned with patients’ context, dreams, goals, and life expectations.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Participação do Paciente / Relações Médico-Paciente / Tomada de Decisões / Diabetes Mellitus Tipo de estudo: Prognostic_studies Aspecto: Patient_preference Limite: Humans Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Chile
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Participação do Paciente / Relações Médico-Paciente / Tomada de Decisões / Diabetes Mellitus Tipo de estudo: Prognostic_studies Aspecto: Patient_preference Limite: Humans Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Chile