中医医患共同决策概念框架构建的思路与研究设计

医患共同决策（SDM）作为一种医疗保健服务模式，要求临床实践遵循“以患者为中心”的医疗理念，强调患者参与医疗决策过程，促进医疗平等，提高卫生服务质量和有效性。但其方法尚未引入中医领域，如何在中医药临床实践中实现 SDM 仍然缺乏明确的指导。本研究提出中医 SDM 概念框架的构建方法，介绍如何基于多种循证医学评价方法构建符合中医特色的 SDM 模式概念框架，并开展一项实施性研究探索中医临床实践中 SDM 模式的适用性，以期为未来中医临床实践中应用 SDM 模式提供思路。

Shared decision making (SDM), as a healthcare service model, requires clinical practice to follow the “patient-centred” medical principle and emphasizes patient participation in the medical decision-making process, which promotes medical equality and improves the quality and effectiveness of healthcare services. However, its methodology has not yet been introduced into the field of Chinese medicine (CM), and there is still a lack of clear guidance on how to implement SDM in clinical practice. This study provided the method of establishing the conceptual framework of SDM in CM, introducing multiple methods according to evidence-based medicine, and conducing an implementation study to explore the applicability of SDM model in CM clinical practice, with the aim of providing references for the application of the SDM in the clinical practice of CM in the future.