Comment évaluer un diagnostic médical ?

Utiliser des antécédents médicaux, examens physiques et tests diagnostiques.

Quels outils aident à la prise de décision diagnostique ?

Les algorithmes, les guides cliniques et les outils d'aide à la décision.

Quelle est l'importance des tests de laboratoire ?

Ils fournissent des données objectives pour confirmer ou infirmer un diagnostic.

Comment gérer l'incertitude dans le diagnostic ?

Considérer des diagnostics différentiels et impliquer le patient dans la décision.

Quel rôle joue l'expérience du médecin dans le diagnostic ?

L'expérience aide à reconnaître des schémas et à évaluer rapidement les options.

Comment prioriser les symptômes du patient ?

Évaluer la gravité, la durée et l'impact sur la qualité de vie du patient.

Quels symptômes nécessitent une attention immédiate ?

Les symptômes graves comme la douleur thoracique ou la difficulté respiratoire.

Comment les symptômes influencent-ils la décision thérapeutique ?

Ils orientent le choix du traitement en fonction de leur nature et de leur gravité.

Quelle est l'importance de l'historique des symptômes ?

Il aide à établir un diagnostic précis et à choisir le traitement approprié.

Comment évaluer l'évolution des symptômes ?

Suivre les changements dans le temps et leur réponse aux traitements administrés.

Comment intégrer la prévention dans la prise de décision ?

Évaluer les risques et recommander des mesures préventives adaptées au patient.

Quels sont les principaux types de prévention ?

Prévention primaire, secondaire et tertiaire, chacune ciblant différents stades.

Comment évaluer l'adhésion aux mesures préventives ?

Utiliser des questionnaires et des suivis réguliers pour mesurer l'engagement.

Quel rôle joue l'éducation du patient en prévention ?

Elle augmente la sensibilisation et encourage des comportements sains.

Comment évaluer l'impact des interventions préventives ?

Analyser les données de santé et les résultats cliniques sur le long terme.

Comment choisir un traitement approprié ?

Évaluer l'efficacité, les effets secondaires et les préférences du patient.

Quel rôle joue le consentement éclairé ?

Il assure que le patient comprend les options et les risques avant de décider.

Comment évaluer l'efficacité d'un traitement ?

Surveiller les résultats cliniques et les effets secondaires au fil du temps.

Quels facteurs influencent le choix du traitement ?

Les comorbidités, les préférences du patient et les lignes directrices cliniques.

Comment gérer les échecs de traitement ?

Réévaluer le diagnostic et envisager des alternatives thérapeutiques.

Comment anticiper les complications d'un traitement ?

Évaluer les risques associés et surveiller les signes précoces de complications.

Quels sont les signes de complications à surveiller ?

Les symptômes inhabituels, l'aggravation de l'état et les effets secondaires.

Comment gérer les complications post-traitement ?

Établir un plan de suivi et ajuster le traitement en fonction des complications.

Quel est l'impact des complications sur la prise de décision ?

Elles peuvent nécessiter des ajustements dans le traitement et la gestion du patient.

Comment évaluer le risque de complications ?

Utiliser des outils d'évaluation des risques et des antécédents médicaux.

Comment identifier les facteurs de risque d'une maladie ?

Analyser les antécédents familiaux, le mode de vie et les conditions médicales.

Quel rôle jouent les facteurs de risque dans la prévention ?

Ils aident à cibler les interventions préventives pour les populations à risque.

Comment évaluer l'impact des facteurs de risque ?

Utiliser des études épidémiologiques et des données cliniques pour quantifier l'impact.

Quels sont les facteurs de risque modifiables ?

Le tabagisme, l'alimentation, l'activité physique et la consommation d'alcool.

Comment intégrer les facteurs de risque dans la prise de décision ?

Évaluer les risques individuels et discuter des options de gestion avec le patient.

Prise de décision - Informations médicales vérifiées

Shared decision-making in Argentina in 2022.

Jun 2022

DOI: 10.1016/j.zefq.2022.04.008 PMID: 35610137

Argentina is an upper-middle income country located in South America with an estimated population of 46.2 million inhabitants. There is no unified research agenda or government initiatives encouraging...

Argentina Decision Making Decision Making, Shared Germany Humans +1 autres

Implementing shared decision-making in Australia.

Jun 2022

DOI: 10.1016/j.zefq.2022.04.002 PMID: 35562274

Person-centred care (PCC) and shared decision-making (SDM) are part of national clinical standards for an increasing number of areas of health care delivery. In addition to existing standards for accr...

Australia Decision Making Decision Making, Shared Germany Humans +1 autres

Epistemic justice is the basis of shared decision making.

06 2023

DOI: 10.1016/j.pec.2023.107681 PMID: 36871402

There is little evidence that share decision-making (SDM) is being successfully implemented, with a significant gap between theory and clinical practice. In this article we look at SDM explicitly ackn... We propose to see conditions for shared decision-making in terms of epistemic justice, an explicit acknowledgment and acceptance of the legitimacy of healthcare users and their accounts and knowledges... The epistemic-justice perspective we adopt leads to at least three implications for clinical practices. First, clinical training must go beyond the development of communication skills and focus more o...

Humans Decision Making, Shared Decision Making Physician-Patient Relations Communication +2 autres

Shared decision making in the treatment of pediatric strabismus.

Feb 2024

DOI: 10.1016/j.jaapos.2023.11.016 PMID: 38237724

To quantify the results of shared decision making in pediatric strabismus surgery from the parent perspective using the nine-item Shared Decision Making (SDM) Questionnaire and the associations of SDM... Consecutive parents of children 2-14 years of age with concomitant manifest strabismus that consented to strabismus surgery were surveyed using the SDM Questionnaire. A four-point Likert scale was use... A total of 100 parents (86 women) completed the survey and were included. Significant differences for SDM score were found between individuals with university-level versus the other three educational ... In our study cohort, SDM score was correlated with educational level. Satisfaction was greater among responders with higher SDM scores, indicating that SDM may help improve parent-reported satisfactio...

Humans Child Female Decision Making, Shared Decision Making +4 autres

Moving shared decision-making forward in Iran.

Jun 2022

DOI: 10.1016/j.zefq.2022.05.001 PMID: 35606310

Although there have been breakthroughs in patients' rights and informed consent legislation in Iran during the last few years, there is still no policy regarding shared decision-making (SDM). Besides,...

Decision Making Decision Making, Shared Germany Humans Iran +1 autres

Shared decision making in rheumatology: A scoping review.

10 2022

DOI: 10.1016/j.semarthrit.2022.152041 PMID: 35738040

Shared decision making is a collaborative process where patients and clinicians work together to understand the patient's situation and to determine how best to address it. While shared decision makin... To perform a scoping review of research on shared decision making in rheumatology METHODS: We analyzed literature on shared decision making in rheumatology from Ovid MEDLINE, PsycINFO, Sciverse Scopus... Of 3191 articles screened, 63 studies were included for analysis. Shared decision making in rheumatology improves patient satisfaction and adherence to treatment plans. We identified 13 patient decisi... Our review identified 63 studies of shared decision making in rheumatology, including 13 studies of patient decision aids. Future areas of research include identifying tools for shared decision making...

Decision Making, Shared Health Literacy Humans Patient Participation Patient Satisfaction +1 autres

For which decisions is Shared Decision Making considered appropriate? - A systematic review.

01 2023

DOI: 10.1016/j.pec.2022.09.015 PMID: 36220675

To identify decision characteristics for which SDM authors deem SDM appropriate or not, and what arguments are used.... We applied two search strategies: we included SDM models from an earlier review (strategy 1) and conducted a new search in eight databases to include papers other than describing an SDM model, such as... From the 92 included papers, we identified 18 decision characteristics for which authors deemed SDM appropriate, including preference-sensitive, equipoise and decisions where patient commitment is nee... The findings of this review show the broad range of decision characteristics for which authors deem SDM appropriate, the ambiguity of some, and potential limits of SDM.... The findings can stimulate clinicians to (re)consider pursuing SDM in situations in which they did not before. Additionally, it can inform SDM campaigns and educational programs as it shows for which ...

Humans Decision Making, Shared Patient Participation Decision Making Databases, Factual

Shared decision making with black patients: A scoping review.

05 2023

DOI: 10.1016/j.pec.2023.107646 PMID: 36739706

The purpose of this review is to explore the breadth of research conducted on SDM in the care of Black patients.... We conducted a scoping review following the methodological framework outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. We searched articles related... After removal of duplicates and screening, 30 articles were included in the final analysis. Black patients and clinician were found to not share the same understanding of SDM, and patients highly valu... SDM has the potential to improve health outcomes in Black patients when implemented contextually within Black patients' experiences and concerns. Significant barriers such as clinician mistrust exist,...

Humans Decision Making, Shared Decision Making Patient Participation Black People +1 autres

Shared decision making and advance care planning: a systematic literature review and novel decision-making model.

14 08 2023

DOI: 10.1186/s12910-023-00944-7 PMID: 37580704

Shared decision making (SDM) and advance care planning (ACP) are important evidence and ethics based concepts that can be translated in communication tools to aid the treatment decision-making process... In order to assess how SDM and ACP is applied in usual care, we have performed a systematic literature review. The included studies have been analysed by means of thematic analysis as well as abductiv... The search in Medline, Cinahl, Embase, Scopus, Web of science, Psychinfo and Cochrane revealed 15 studies. Eleven describe various steps of SDM while four studies discuss the documentation of goals of... To be able to make informed choices about immediate and future care, patients should be engaged in both SDM and ACP decision-making processes. This allows for an iterative process in which each import...

Humans Decision Making Decision Making, Shared Advance Care Planning Records +2 autres

Shared Decision Making in Psychiatry: Dissolving the Responsibility Problem.

Jun 2023

DOI: 10.1007/s10728-022-00451-7 PMID: 36462103

Person centered care (PCC) invites ideas of shared responsibility as a direct result of its shared decision making (SDM) process. The intersection of PCC and psychiatric contexts brings about what I r...

Humans Decision Making, Shared Patient Participation Psychiatry Mental Disorders +2 autres

Prise de décision : Questions médicales fréquentes

Termes MeSH sélectionnés :

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

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