1 research outputs found
μΉκ³Όλ³΄μ² μΉλ£μ λν 곡μ μμ¬κ²°μ μ§μ μμ€ν μ κ°λ°
νμλ
Όλ¬Έ (λ°μ¬)-- μμΈλνκ΅ λνμ : μΉμνκ³Ό, 2013. 2. κΉλͺ
κΈ°.곡μ μμ¬κ²°μ (Shared decision making)μ μμ¬μ μνμ μΈ κ·Όκ±°μ νμμ μ νΈλλ₯Ό μνΈμ°Έμ‘°νμ¬, μΉλ£μ λν μμ¬κ²°μ μ νμλ₯Ό μ°Έμ¬μν€λ €λ μ κ·Όλ²μ΄λ€. μ΄λ νμμ€μ¬ μ§λ£μ μ€λ¦¬μ±λΏλ§ μλλΌ, μμ¬κ²°μ κ³Όμ μμμ μ§μ μΈ ν₯μμ κ°μ Έμ¨λ€. μ΄λ° μ κ·Όλ²μ λΉκ΅μ νλ°ν μ°κ΅¬λμμΌλ, μ€μ λ‘ μΉκ³Ό μμνκ²½μμ μ¬μ©ν μ μλ λꡬλ κ±°μ κ°λ°λμ§ μμλ€. μ΄μ λ³Έ μ°κ΅¬λ μΉκ³Όλ³΄μ² μΉλ£μ λν 곡μ μμ¬κ²°μ μ§μμμ€ν
μ μ μνκ³ μ νλ€. μ΄ μμ€ν
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μμ¬κ²°μ μ λ΄λ¦¬κΈ° μν΄ νμμ μ νΈλλ₯Ό μ€μνκ² κ³ λ €νμκ³ , μ°μ μμ κ²°μ μ μν΄μ AHP (Analytic hierarchy process) λ°©λ²μ μ΄μ©νμλ€. μ΄ μμ€ν
μ μΉκ³Όλ³΄μ² μΉλ£μ λν νμ μ νΈλμ λ°λ₯Έ κ·Όκ±°μ€μ¬μ μΉλ£λμλ€μ μκ°μ μΌλ‘ 보μ¬μ€ μ μλλ‘ μΉ μ΄ν리μΌμ΄μ
μ ννλ‘ κ°λ°νμλ€. μ΄λ μμ¬μ νμκ°μ 곡μ μμ¬κ²°μ μ μν μνΈμμ©μ ν λκ° λ μ μμΌλ©°, νμμκ² μ ν©ν μΉλ£λ°©λ²μ κ²°μ νλλ° λμμ μ€ μ μμ κ²μ΄λ€.Shared decision making (SDM) is an approach in which doctor-patient communication regarding available evidence and patient preferences is facilitated to enable the patient to participate in treatment decisions. SDM affords not only the inclusion of the ethical diversities involved in patient-centered care, but also the quality improvements in decision-making process. Though SDM has been studied extensively, there have been few practical implementations in real clinical environments. In this paper, we propose a shared decision-making system with its focus on dental restorative treatment planning. In our system, restorative treatment alternatives for SDM were generated by employing an ontology that had captured the clinical knowledge required for treatments. We considered patient preferences for treatment as an important support for mutual agreements between the patient and the doctor on healthcare decisions. We constructed a consistent and robust hierarchy of preferences using the analytic hierarchy process (AHP) method, to help determine treatment priorities. On the basis of our proposed system, we developed a Web-based application for the visualization of evidence-based treatment recommendations with preference-based weights. We tested our system using a scenario to illustrate how doctors and patients can make shared decisions. The application is of high value in supporting SDM between doctors and patients, and expedites effective treatments and enhanced patient satisfaction.1. μλ‘ 1
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λΆλ‘ 91Docto