目的：本研究旨在評估影片輔助決策工具在乾癬照護中的共享決策應用效益，並比較不同形式工具的實施差異。方法：採用混合研究法，招募105位區域教學醫院醫療人員參與角色模擬，比較傳統紙本與影片輔助式決策工具。參與者從病人及醫療提供者雙重角度評估兩種工具，並完成問卷及訪談。結果：主要執行障礙為時間限制(66.7%)及工具操作熟練度不足(55.2%)。影片形式在治療方案說明(59.0%)及疾病嚴重度評估(54.3%)等方面展現優勢。影片工具維持較高執行意願（4.03/5分）。結論：研究結果支持影片輔助式決策工具在臨床實踐的可行性，建議醫療機構導入時應考量工具效能、使用體驗及組織支援等面向

Purpose: The aim of this study was to evaluate the effectiveness of video-assisted patient decision aids in psoriasis care and compare different tool formats through healthcare provider role simulation. Methods: A mixed-methods approach was used, in which 105 healthcare providers from a regional teaching hospital participated in role-play sessions to compare traditional paper-based and videoassisted decision aids. Both tools were evaluated from patient and provider perspectives, followed by questionnaires and interviews. Results: Major implementation barriers included time constraints (66.7%) and insufficient tool proficiency (55.2%). Video-assisted decision aids offered advantages in treatment plan explanation (59.0%) and disease severity assessment (54.3%). They also maintained a high degree of implementation willingness (4.03/5). Conclusion: The findings of this study support the feasibility of implementing video-assisted patient decision aids in clinical practice and suggest that healthcare institutions consider tool effectiveness, user experience, and organizational support during implementation.