Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica

Patients with diabetes mellitus often have several medical problems and carry a burden imposed by their illness and treatment. Health care often ignores the values, preferences and context of patients, leading to treatments that do not fit into patients overwhelmed lives. Shared Decision Making (SD...

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Autores principales:	Serrano,Valentina, Larrea-Mantilla,Laura, Rodríguez-Gutiérrez,René, Spencer-Bonilla,Gabriela, Málaga,Germán, Hargraves,Ian, Montori,Víctor M
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2017
Materias:	Decision Making Decision Support Techniques Diabetes Mellitus Evidence-Based Medicine
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000500012
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spelling	oai:scielo:S0034-988720170005000122017-11-16Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para LatinoaméricaSerrano,ValentinaLarrea-Mantilla,LauraRodríguez-Gutiérrez,RenéSpencer-Bonilla,GabrielaMálaga,GermánHargraves,IanMontori,Víctor M Decision Making Decision Support Techniques Diabetes Mellitus Evidence-Based Medicine Patients with diabetes mellitus often have several medical problems and carry a burden imposed by their illness and treatment. Health care often ignores the values, preferences and context of patients, leading to treatments that do not fit into patients overwhelmed lives. Shared Decision Making (SDM) emerges as a way to answer the question: Whats best for the patient?. SDM promotes an empathic conversation between patients and clinicians that integrates the best evidence available with their values, preferences and context. We discuss three SDM approaches for patients with diabetes: one focused on sharing information, another on making choices, and a third one on helping patients and clinicians to talk about how to address the problems of living with diabetes and its comorbidities. Despite the benefits demonstrated in studies conducted in the U.S. and Europe, the implementation of SDM continues to be a challenge. In Latin America, healthcare and socio-economic conditions render the implementation of SDM more challenging. Research aimed to respond to this challenge is necessary. Meanwhile, clinicians can practice SDM by sharing evidence-based information, giving voice to patients values and preferences in making choices, and creating empathic conversations aimed at decisions aligned with patients context, dreams, goals, and life expectations.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.145 n.5 20172017-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000500012es10.4067/S0034-98872017000500012
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Decision Making Decision Support Techniques Diabetes Mellitus Evidence-Based Medicine
spellingShingle	Decision Making Decision Support Techniques Diabetes Mellitus Evidence-Based Medicine Serrano,Valentina Larrea-Mantilla,Laura Rodríguez-Gutiérrez,René Spencer-Bonilla,Gabriela Málaga,Germán Hargraves,Ian Montori,Víctor M Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica
description	Patients with diabetes mellitus often have several medical problems and carry a burden imposed by their illness and treatment. Health care often ignores the values, preferences and context of patients, leading to treatments that do not fit into patients overwhelmed lives. Shared Decision Making (SDM) emerges as a way to answer the question: Whats best for the patient?. SDM promotes an empathic conversation between patients and clinicians that integrates the best evidence available with their values, preferences and context. We discuss three SDM approaches for patients with diabetes: one focused on sharing information, another on making choices, and a third one on helping patients and clinicians to talk about how to address the problems of living with diabetes and its comorbidities. Despite the benefits demonstrated in studies conducted in the U.S. and Europe, the implementation of SDM continues to be a challenge. In Latin America, healthcare and socio-economic conditions render the implementation of SDM more challenging. Research aimed to respond to this challenge is necessary. Meanwhile, clinicians can practice SDM by sharing evidence-based information, giving voice to patients values and preferences in making choices, and creating empathic conversations aimed at decisions aligned with patients context, dreams, goals, and life expectations.
author	Serrano,Valentina Larrea-Mantilla,Laura Rodríguez-Gutiérrez,René Spencer-Bonilla,Gabriela Málaga,Germán Hargraves,Ian Montori,Víctor M
author_facet	Serrano,Valentina Larrea-Mantilla,Laura Rodríguez-Gutiérrez,René Spencer-Bonilla,Gabriela Málaga,Germán Hargraves,Ian Montori,Víctor M
author_sort	Serrano,Valentina
title	Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica
title_short	Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica
title_full	Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica
title_fullStr	Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica
title_full_unstemmed	Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica
title_sort	toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para latinoamérica
publisher	Sociedad Médica de Santiago
publishDate	2017
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000500012
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Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica

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