디지털 환경에서 효과적인 ‘함께하는 의사결정’을 위한 요인
Key Elements for Effective Shared Decision-making in Digital Environments
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Purpose : We discussed what is needed for ‘Shared decision making (SDM)’ in the digital medical environment. Methods : We looked at what needs to be considered for remote SDM by examining research data on communication and remote SDM operation in existing digital environments. Results : The integration of digital technology in medicine has significantly enhanced remote communication between patients and doctors. Notably, both the quantity and quality of information exchanged among participants have markedly improved. Additionally, as patients can obtain information without relying on hospitals and doctors, the flow of information is changing from one-way (from doctor to patient) to mutual exchange between patients and doctors. SDM is a decision-making process that emphasizes patient participation, exchange of medical information and information about patient preferences, and decisions based on sufficient deliberation and consensus, and is premised on multiple meetings. To ensure effective SDM, it is necessary to understand the synchronous and asynchronous communication methods of digital technology and the exchange of expanded information. Conclusion : To facilitate successful remote Shared Decision Making (SDM), it is crucial for both patients and doctors to have digital literacy, health literacy, and maintain an attitude of respectful communication.
Abstract
Purpose : We discussed what is needed for ‘Shared decision making (SDM)’ in the digital medical environment. Methods : We looked at what needs to be considered for remote SDM by examining research data on communication and remote SDM operation in existing digital environments. Results : The integration of digital technology in medicine has significantly enhanced remote communication between patients and doctors. Notably, both the quantity and quality of information exchanged among participants have markedly improved. Additionally, as patients can obtain information without relying on hospitals and doctors, the flow of information is changing from one-way (from doctor to patient) to mutual exchange between patients and doctors. SDM is a decision-making process that emphasizes patient participation, exchange of medical information and information about patient preferences, and decisions based on sufficient deliberation and consensus, and is premised on multiple meetings. To ensure effective SDM, it is necessary to understand the synchronous and asynchronous communication methods of digital technology and the exchange of expanded information. Conclusion : To facilitate successful remote Shared Decision Making (SDM), it is crucial for both patients and doctors to have digital literacy, health literacy, and maintain an attitude of respectful communication.
참고문헌 (47)
- Mann DM, "COVID-19transforms health care through telemedicine : Evidence from the field", Journal of the American Medical Informatics Association, 27(7), pp.1132~1135 (2020)
- "Notification of enforcement discretion for telehealth remote communications during the COVID-19 nationwide public health emergency"[URL]
- 김종엽, "비대면 의료서비스의 장점 및 필요성", 대한내과학회지, 95(4), pp.217~227 (2020), 대한내과학회[DOI]
- "Medical Service Act. Article 34 (Act No. 18468, September 24, 2021)", ~
- "Infectious Disease Control And Prevention Act. Article 49-3(Act No. 19290, March28, 2023)", ~
- "Non-face-to-face treatment pilot project public information material" (2023)[URL]
- Elwyn G, "The ethical imperative for shared decision-making", European Journal for Person Centered Healthcare, 1(1), pp.129~131 (2013)
- Charles C, "Shared decision-making in the medical encounter : what does it mean?(or it takes at least two to tango)", Social Science & Medicine, 44(5), pp.681~692 (1997)
- Hartasanchez SA, "Remote shared decision making through telemedicine : A systematic review of the literature", Patient Education and Counseling, 105(2), pp.356~365 (2022)
- Stiggelbout AM, "Shared decision making : Concepts, evidence, and practice", Patient Education and Counseling, 98(10), pp.1172~1179 (2015)
- Gionfriddo MR, "Shared decision-making and comparative effectiveness research for patients with chronic conditions : an urgent synergy for better health", Journal of Comparative Effectiveness Research, 2(6), pp.595~603 (2013)
- Elwyn G, "A three-talk model for shared decision making : multistage consultation process", The BMJ, 359, pp.j4891~ (2017)
- Elwyn G, "Shared decision making : a model for clinical practice", Journal of General Internal Medicine, 27(10), pp.1361~1367 (2012)
- "The SHARE approach: A model for shared decision- nmaking – Fact Sheet"[URL]
- Ho A, "Sowing the SEED for Patient Empowerment", The American Journal of Bioethics, 17(11), pp.42~45 (2017)
- Légaré F, "Shared decision making : examining key elements and barriers to adoption into routine clinical practice", Health Affairs, 32(2), pp.276~284 (2013)
- Peterson KJ, "Shared decision making in health care settings : a role for social work", Social Work in Health Care, 51(10), pp.894~908 (2012)
- Jeanne Wirpsa M, "Interprofessional Models for Shared Decision Making : The Role of the Health Care Chaplain", Journal of Health Care Chaplaincy, 25(1), pp.20~44 (2019)
- Lantos JD., "The ethics of shared decision making", pp.2~4 (2021), Oxford University Press
- Metz M, "Effectiveness of a multi-facetted blended eHealth intervention during intake supporting patients and clinicians in Shared Decision Making : A cluster randomised controlled trial in a specialist mental health outpatient setting", PLoS ONE, 13(6), pp.e0199795~ (2018)
- Huppelschoten AG, "Independent and Web-Based Advice for Infertile Patients Using Fertility Consult : Pilot Study", JMIR Formative Research, 3(2), pp.e13916~ (2019)
- Pappas Y, "Diagnosis and Decision-Making in Telemedicine", Journal of Patient Experience, 6(4), pp.296~304 (2019)
- Griffith ML, "A Shared Decision-Making Approach to Telemedicine : Engaging Rural Patients in Glycemic Management", Journal of Clinical Medicine, 5(11), pp.103~ (2016)
- Seljelid B, "Content and system development of a digital patient-provider communication tool to support shared decision making in chronic health care : InvolveMe", BMC Medical Informatics and Decision Making, 20(1), pp.46~ (2020)
- Briggs LG, "Digital technologies in cancer care : a review from the clinician’s perspective", Journal of Comparative Effectiveness Research, 11(7), pp.533~544 (2022)
- Szasz TS, "The doctor-patient relationship and its historical context", American Journal of Psychiatry, 115(6), pp.522~528 (1958)
- Veatch RM, "Models for ethical medicine in a revolutionary age. What physician-patient roles foster the most ethical realtionship?", Hastings Center Report, 2(3), pp.5~7 (1972)
- Emanuel EJ, "Four models of the physician-patient relationship", JAMA The Journal of the American Medical Association, 267(16), pp.2221~2226 (1992)
- Légaré F, "Barriers and facilitators to implementing shared decision-making in clinical practice : update of a systematic review of health professionals’perceptions", Patient Education and Counseling, 73(3), pp.526~535 (2008)
- Köther AK, "Different patients, different preferences : A multicenter assessment of patients’ personality traits and anxiety in shared decision making", Cancer Medicine, 11(15), pp.2999~3008 (2022)
- Llewellyn-Thomas HA, "Decision support for patients : values clarification and preference elicitation", Medical Care Research and Review, 70(1 Suppl), pp.50S~79S (2013)
- Epstein RM, "Beyond information : exploring patients’preferences", JAMA The Journal of the American Medical Association, 302(2), pp.195~197 (2009)
- Tinmaz H, "A systematic review on digital literacy", Smart Learning Environments, 9(1), pp.21~ (2022)
- Rocha Estrada FJ, "Security as an emerging dimension of Digital Literacy for education : a systematic literature review", Journal of E-Learning and Knowledge Society, 18(2), pp.22~33 (2022)
- Eshet Y, "Digital Literacy : A Conceptual Framework for Survival Skills in the Digital era", Journal of Educational Multimedia and Hypermedia, 13(1), pp.93~106 (2004)
- Ozanne EM, "Shared Decision Making in the Era of Telehealth : Implications for Practice and Research", MDM Policy & Practice, 5(2), pp.2381468320976364~ (2020)
- Leader AE, "Digital Literacy at an Urban Cancer Center : Implications for Technology Use and Vulnerable Patients", JCO Clinical Cancer Informatics, 5(5), pp.872~880 (2021)
- Rocha Estrada FJ, "Security as an emerging dimension of Digital Literacy for education : a systematic literature review", Journal of e-Learning and Knowledge Society, 18(2), pp.22~33 (2022)
- Ishikawa H, "Health literacy and health communication", BioPsychoSocial Medicine, 4, pp.18~ (2010)
- Kickbusch I, "Encyclopedia of public health. Volume 3", pp.204~211 (2008), Academic Press
- Peerson A, "Health literacy revisited : what do we mean and why does it matter?", Health Promotion International, 24(3), pp.285~296 (2009)
- Palumbo R, "Addressing health literacy in the digital domain : insights from a literature review", Kybernetes, 51(13), pp.82~97 (2022)
- Cavallone M, "Debunking the myth of industry 4. 0 in health care : insights from a systematic literature review", The TQM Journal, 32(4), pp.849~868 (2020)
- Shaw SJ, "The Role of culture in health literacy and chronic disease screening and management", Journal of Immigrant and Minority Health, 11, pp.460~467 (2009)
- Han D, "A scenario-Based study of doctors and patients on video conferencing appointments from Home", ACM Transactions on Computer-Human Interaction, 29(5), pp.49~ (2022)
- Irani E, "The Use of Videoconferencing for qualitative Interviewing : opportunities, challenges, and considerations", Clinical Nursing Research, 28(1), pp.3~8 (2019)
