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医患共同决策与多学科联合治疗的协同效应:肿瘤诊疗中的整合与应用

Synergistic Effects of Shared Decision-Making and Multidisciplinary Team Treatment Consultations: Integration and Application in Cancer Care

  • 摘要: 随着肿瘤诊疗向以患者为中心转变,医患共同决策(Shared Decision-Making, SDM)与多学科联合治疗(Multidisciplinary Team Treatment, MDT)的协同作用成为优化临床肿瘤诊疗实践的关键。本文通过分析SDM与MDT的核心概念及互补关系,探讨两者整合对肿瘤诊疗质量与患者结局的促进作用。SDM强调患者参与肿瘤治疗决策,结合医学专业知识和患者价值观,实现个性化诊疗;MDT通过多学科协作,提供循证化、规范化的综合方案。两者的协同体现在信息交互与视角互补:MDT为SDM提供精准医学支持,SDM则通过患者偏好反馈优化MDT决策。临床实践表明,SDM与MDT结合能提升肿瘤治疗方案合理性、患者依从性及满意度,并强化医患沟通与信任,推动生物-心理-社会医学模式在肿瘤防治中的落地。然而,肿瘤诊疗中存在的医疗资源限制、时间压力及认知差异仍是挑战,需通过资源优化、流程改进及专项培训应对。未来,信息化技术的应用将进一步增强两者协同的精准性与效率,为肿瘤防治提供更科学与人性化的解决方案。

     

    Abstract: With the shift toward patient-centered care in oncology, the synergy between Shared Decision-Making (SDM) and Multidisciplinary Team Treatment (MDT) has become a key factor in optimizing clinical oncology practice. This article analyzes the core concepts and complementary relationships between SDM and MDT, and explores how their integration enhances the quality of cancer care and patient outcomes. SDM emphasizes patient involvement in cancer treatment decisions by integrating medical expertise with patient values to achieve personalized care, while MDT provides evidence-based and standardized comprehensive solutions through multidisciplinary collaboration. Their synergy is reflected in information exchange and complementary perspectives: MDT provides precision medicine support for SDM, whereas SDM refines MDT decisions through feedback on patient preferences. Clinical practice has shown that the combination of SDM and MDT improves the rationality of cancer treatment plans, patient adherence, and satisfaction, while strengthening physician-patient communication and trust, thereby facilitating the implementation of the biopsychosocial medical model in cancer prevention and treatment. Nevertheless, challenges such as limited medical resources, time constraints, and cognitive differences in cancer care remain, which require responses through resource optimization, process improvement, and targeted training. In the future, the application of information technology will further enhance the precision and efficiency of this synergy, offering more scientific and humanistic solutions for cancer prevention and treatment.

     

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