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近二十年国内外医患共同决策研究现状及未来趋势

栗洁歆 郭莉萍

中国医学伦理学2025,Vol.38Issue(5):543-552,10.
中国医学伦理学2025,Vol.38Issue(5):543-552,10.DOI:10.12026/j.issn.1001-8565.2025.05.01

近二十年国内外医患共同决策研究现状及未来趋势

Research status and future trends of shared decision-making at home and abroad over the past two decades

栗洁歆 1郭莉萍1

作者信息

  • 1. 北京大学医学人文学院,北京 100191
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摘要

Abstract

Objective:To analyze the annual publication volume,prolific research institutions,and research hotspots in the field of shared decision-making(SDM)by utilizing CiteSpace software based on a literature review,predicting the future research focus and development direction in this area.Methods:An advanced search was conducted in the China National Knowledge Infrastructure(CNKI)and the Web of Science Core Collection databases,with the search timeframe limited to 2004-2024.Scientific knowledge mapping analysis was performed using CiteSpace software.Results:From 2004 to 2024,the volume of publications on SDM research has shown an increasing trend both domestically and internationally.In China,SDM research was mainly focused on nursing,oncology,and other fields,whereas internationally,the emphasis was on patient participation,risk communication,and the application of decision-making support tools.In China,research institutions were primarily nursing schools and specific departments in affiliated hospitals,while internationally,SDM research was concentrated in North America.Keyword analysis showed that the research hotspots in China have gradually shifted from technical topics such as decision-making trees to the practical application of patient participation and decision-making support tools,while international research has earlier moved into the areas of SDM and artificial intelligence-supported decision-making tools.Conclusion:The research hotspots of SDM,both domestically and internationally,have gradually shifted from theoretical exploration to clinical practice and technological applications.In the future,with the deeper integration of artificial intelligence and big data technologies,SDM research in China will focus more on optimizing decision-making support systems and enhancing patient participation.Promoting the localization of SDM practices,fostering multidisciplinary collaboration,and strengthening policy support will be key directions for future research.

关键词

医患共同决策/叙事医学/医患沟通

Key words

shared decision-making/narrative medicine/doctor-patient communication

引用本文复制引用

栗洁歆,郭莉萍..近二十年国内外医患共同决策研究现状及未来趋势[J].中国医学伦理学,2025,38(5):543-552,10.

中国医学伦理学

OA北大核心

1001-8565

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