Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica
Patients with diabetes mellitus often have several medical problems and carry a burden imposed by their illness and treatment. Health care often ignores the values, preferences and context of patients, leading to treatments that do not fit into patients’ overwhelmed lives. Shared Decision Making (SD...
| Autores principales: | , , , , , , |
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| Formato: | Artículo |
| Lenguaje: | Spanish / Castilian |
| Publicado: |
Sociedad Médica de Santiago
2017
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| Materias: | |
| Acceso en línea: | http://eprints.uanl.mx/18081/1/401.pdf |
| _version_ | 1824415124021051392 |
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| author | Serrano, Valentina Larrea Mantilla, Laura Rodríguez Gutiérrez, René Spencer Bonilla, Gabriela Malaga, German Hargraves, Ian Montori, Victor M. |
| author_facet | Serrano, Valentina Larrea Mantilla, Laura Rodríguez Gutiérrez, René Spencer Bonilla, Gabriela Malaga, German Hargraves, Ian Montori, Victor M. |
| author_sort | Serrano, Valentina |
| collection | Repositorio Institucional |
| description | Patients with diabetes mellitus often have several medical problems and carry a burden imposed by their illness and treatment. Health care often ignores the values, preferences and context of patients, leading to treatments that do not fit into patients’ overwhelmed lives. Shared Decision Making (SDM) emerges as a way to answer the question: “What’s best for the patient?”. SDM promotes an empathic conversation between patients and clinicians that integrates the best evidence available with their values, preferences and context. We discuss three SDM approaches for patients with diabetes: one focused on sharing information, another on making choices, and a third one on helping patients and clinicians to talk about how to address the problems of living with diabetes and its comorbidities. Despite the benefits demonstrated in studies conducted in the U.S. and Europe, the implementation of SDM continues to be a challenge. In Latin America, healthcare and socio-economic conditions render the implementation of SDM more challenging. Research aimed to respond to this challenge is necessary. Meanwhile, clinicians can practice SDM by sharing evidence-based information, giving voice to patients’ values and preferences in making choices, and creating empathic conversations aimed at decisions aligned with patients’ context, dreams, goals, and life expectations. (Rev Med Chile 2017; 145: 641-649) Key words: Decision Making; Decision Support Techniques; Diabetes Mellitus; Evidence-Based Medicine. |
| format | Article |
| id | eprints-18081 |
| institution | UANL |
| language | Spanish / Castilian |
| publishDate | 2017 |
| publisher | Sociedad Médica de Santiago |
| record_format | eprints |
| spelling | eprints-180812020-04-24T16:04:35Z http://eprints.uanl.mx/18081/ Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica Serrano, Valentina Larrea Mantilla, Laura Rodríguez Gutiérrez, René Spencer Bonilla, Gabriela Malaga, German Hargraves, Ian Montori, Victor M. R Medicina en General Patients with diabetes mellitus often have several medical problems and carry a burden imposed by their illness and treatment. Health care often ignores the values, preferences and context of patients, leading to treatments that do not fit into patients’ overwhelmed lives. Shared Decision Making (SDM) emerges as a way to answer the question: “What’s best for the patient?”. SDM promotes an empathic conversation between patients and clinicians that integrates the best evidence available with their values, preferences and context. We discuss three SDM approaches for patients with diabetes: one focused on sharing information, another on making choices, and a third one on helping patients and clinicians to talk about how to address the problems of living with diabetes and its comorbidities. Despite the benefits demonstrated in studies conducted in the U.S. and Europe, the implementation of SDM continues to be a challenge. In Latin America, healthcare and socio-economic conditions render the implementation of SDM more challenging. Research aimed to respond to this challenge is necessary. Meanwhile, clinicians can practice SDM by sharing evidence-based information, giving voice to patients’ values and preferences in making choices, and creating empathic conversations aimed at decisions aligned with patients’ context, dreams, goals, and life expectations. (Rev Med Chile 2017; 145: 641-649) Key words: Decision Making; Decision Support Techniques; Diabetes Mellitus; Evidence-Based Medicine. Sociedad Médica de Santiago 2017-05 Article PeerReviewed text es cc_by_nc_nd http://eprints.uanl.mx/18081/1/401.pdf http://eprints.uanl.mx/18081/1.haspreviewThumbnailVersion/401.pdf Serrano, Valentina y Larrea Mantilla, Laura y Rodríguez Gutiérrez, René y Spencer Bonilla, Gabriela y Malaga, German y Hargraves, Ian y Montori, Victor M. (2017) Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica. Revista médica de Chile, 145 (5). pp. 641-649. ISSN 0034-9887 http://doi.org/10.4067/S0034-98872017000500012 doi:10.4067/S0034-98872017000500012 |
| spellingShingle | R Medicina en General Serrano, Valentina Larrea Mantilla, Laura Rodríguez Gutiérrez, René Spencer Bonilla, Gabriela Malaga, German Hargraves, Ian Montori, Victor M. Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica |
| thumbnail | https://rediab.uanl.mx/themes/sandal5/images/online.png |
| title | Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica |
| title_full | Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica |
| title_fullStr | Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica |
| title_full_unstemmed | Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica |
| title_short | Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica |
| title_sort | toma de decisiones compartidas en la atencion de pacientes con diabetes mellitus un desafio para latinoamerica |
| topic | R Medicina en General |
| url | http://eprints.uanl.mx/18081/1/401.pdf |
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