공유의사결정 중심 의료의 개념 및 발전에 관한 고찰
Historical Perspectives on the Shared Decision Making Centered Medicine
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Shared Decision Making (SDM) is a medical decision-making approach in which healthcare providers and patients collaboratively determine the best treatment options by integrating medical evidence with patients’ values and preferences through a cooperative approach. This review aimed to examine the historical background and conceptual development of SDM to provide foundational knowledge for healthcare professionals who are new to SDM. First, the historical background of SDM emergence was reviewed in the series of the changes brought to the medical field in the United States since 1960s. This review examines the key articles that introduced and shaped the SDM concept from its initial emergence to its concrete development. The concept of SDM was first introduced as “sharing of decision-making” in 1972, and the term “shared decision-making” emerged in the 1982 U.S. Presidential Commission report. Through research from the late 1990s to early 2000s, core components were established, and practical implementation models were developed in the 2010s. Additionally, this review explores patient decision aids that have been developed for SDM implementation, including their standardization through the Ottawa Decision Support Framework and International Patient Decision Aid Standards. SDM is currently recognized as an essential component of patient-centered care, and there is a need for expanding understanding and application in domestic healthcare settings.
Abstract
Shared Decision Making (SDM) is a medical decision-making approach in which healthcare providers and patients collaboratively determine the best treatment options by integrating medical evidence with patients’ values and preferences through a cooperative approach. This review aimed to examine the historical background and conceptual development of SDM to provide foundational knowledge for healthcare professionals who are new to SDM. First, the historical background of SDM emergence was reviewed in the series of the changes brought to the medical field in the United States since 1960s. This review examines the key articles that introduced and shaped the SDM concept from its initial emergence to its concrete development. The concept of SDM was first introduced as “sharing of decision-making” in 1972, and the term “shared decision-making” emerged in the 1982 U.S. Presidential Commission report. Through research from the late 1990s to early 2000s, core components were established, and practical implementation models were developed in the 2010s. Additionally, this review explores patient decision aids that have been developed for SDM implementation, including their standardization through the Ottawa Decision Support Framework and International Patient Decision Aid Standards. SDM is currently recognized as an essential component of patient-centered care, and there is a need for expanding understanding and application in domestic healthcare settings.