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Shared decision making: relevant concepts and facilitating strategies
Jong-Myon Bae
Epidemiol Health. 2017;39:e2017048.   Published online October 30, 2017
DOI: https://doi.org/10.4178/epih.e2017048
  • 17,392 View
  • 439 Download
  • 49 Web of Science
  • 52 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
As the paradigm in healthcare nowadays is the evidence-based, patient-centered decision making, the issue of shared decision making (SDM) is highlighted. The aims of this manuscript were to look at the relevant concepts and suggest the facilitating strategies for overcoming barriers of conducting SDM. While the definitions of SDM were discordant, several concepts such as good communication, individual autonomy, patient participants, and patient-centered decision-making were involved. Further, the facilitating strategies of SDM were to educate and train physician, to apply clinical practice guidelines and patient decision aids, to develop valid measurement tools for evaluation of SDM processes, and to investigate the impact of SDM.
Summary
Korean summary
오늘날 보건의료가 지향하는 목표가 근거에 기반한 환자중심의 의사결정 (Evidence-based Patient-centered Decision Making)인 점에서, 공유된 의사결정 (Shared Decision Making, SDM)의 중요성이 강조되고 있다. 본 원고는 SDM의 관련 개념들을 정리하고, 진료에 적용하는 과정에서의 한계점들과 이를 극복하기 위한 방안들을 살펴보았다.

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Perspective
Suggestions for the promotion of evidence-based public health in South Korea
Jong-Myon Bae
Epidemiol Health. 2017;39:e2017030.   Published online July 19, 2017
DOI: https://doi.org/10.4178/epih.e2017030
  • 14,331 View
  • 213 Download
  • 2 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
Evidence-based public health (EBPH) is defined as public health decision-making based on current best evidence. Debates about the latent tuberculosis infection control program suggested by the Korea Centers for Disease Control and Prevention in 2017 highlight the need to promote EBPH. Three strategies have been proposed, including providing necessary evidence by evaluating policy-evidence gaps; delivering high-quality, relevant, and timely evidence by conducting systematic reviews and adapting public health guidelines; and making value-driven decisions by training and educating public health policymakers.
Summary
Korean summary
근거중심 공중보건 (EBPH)는 공중보건영역에서 최신과 최선의 근거에 기반하여 의사결정을 하는 것이다. EBPH를 활성화하기 위해서는 정책-근거 간의 간극을 알아내고, 체계적 고찰을 통한 공중보건지침을 개발하며, 의사결정참여자의 역량을 높이기 위한 교육훈련을 추진하는 것이다.

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