Shared decision-making in vascular surgery.

摘要: Abstract Background Ideally, patients' decision-making regarding surgical options should reflect myriad implicit values. The informed consent process is meant to ensure that values mirror clinical decisions expectations for outcomes, such as quality of life, life expectancy, and subsequent pain suffering. However, surgeons are not always equipped discuss Methods Shared a method could help elicit subsequently improve the patient's knowledge satisfaction, among other important outcomes. Yet, several barriers hinder implementation shared in clinic, time, interpersonal characteristics, trust. To address concerns, tools approaches have been developed increase clinic. This article highlights two strategies: three-talk model decision aids. Conclusions tool be especially valuable discussions elective surgery. Further research needed determine how best implement setting. Without full integration into options, there will continue disconnect between procedures,