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[Shared decision making in patients with diabetes mellitus]. / Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica.
Serrano, Valentina; Larrea-Mantilla, Laura; Rodríguez-Gutiérrez, René; Spencer-Bonilla, Gabriela; Málaga, Germán; Hargraves, Ian; Montori, Víctor M.
Afiliação
  • Serrano V; Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Minnesota, USA.
  • Larrea-Mantilla L; Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Minnesota, USA.
  • Rodríguez-Gutiérrez R; Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Minnesota, USA.
  • Spencer-Bonilla G; Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Minnesota, USA.
  • Málaga G; Unidad de Conocimiento y Evidencia, Universidad Peruana Cayetano Heredia, Lima, Perú.
  • Hargraves I; Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Minnesota, USA.
  • Montori VM; Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Minnesota, USA.
Rev Med Chil ; 145(5): 641-649, 2017 May.
Article em Es | MEDLINE | ID: mdl-28898341
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: MEDLINE 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 Med Chil 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
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE 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 Med Chil Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Chile