醫病共享決策在缺牙區重建

Shared Decision Making in Reconstruction Plans of Missing Teeth

醫病共享決策為一種醫師與病患共同參與醫療決策的模式，此模式跳脫過往以醫師意見為主的決策方式，轉由醫病雙方在充分溝通及共享意見後，讓病患一同參與治療計畫的擬定。目前在各分科領域有越來越多的文獻討論和臨床應用。缺牙為台灣中老年人常發生的口腔問題，長期缺牙影響層面很大，因此有其重建的必要性。但對病患來說，在諸多治療選項中要決定重建的治療方式，向來不是件容易的事。在牙科缺牙區重建的討論中，我們利用醫病共享決策的模式，搭配醫病共享輔助工具，幫助病患選擇最適合自己的治療選項，並有助於良好醫病關係的建立。

Shared decision making (SDM) model is a collaborative method between the doctors and patients. This method jumps out of the past medical decision-making policies that was mainly based on the opinions of the doctors. Instead, SDM allows the patients to be participated in the treatment planning process by the means of mutual communication and sharing of opinions with the doctors. Currently, there are more and more literature discussions and clinical applications of SDM in various medical specialties. Missing teeth is a common oral problem among middle-aged and the elderly in Taiwan. The impact of long-term teeth missing is enormous and reconstruction of missing teeth is of vital importance. However, it is always difficult for the patients to decide on the treatment options for reconstruction. Therefore, in the discussion of treatment options of reconstruction at missing teeth areas, we use SDM, together with patient decision aid (PDA), to help patients choose the most suitable treatment plan for them and contribute to a good doctor-patient relationship.