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

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dc.contributor.author Serrano, Valentina
dc.contributor.author Larrea Mantilla, Laura
dc.contributor.author Rodríguez Gutiérrez, René
dc.contributor.author Spencer Bonilla, Gabriela
dc.contributor.author Málaga Rodríguez, Germán Javier
dc.contributor.author Hargraves, Ian
dc.contributor.author Montori, Víctor M.
dc.date.accessioned 2019-01-25T17:00:30Z
dc.date.available 2019-01-25T17:00:30Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/4960
dc.description.abstract 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: What s 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. en_US
dc.language.iso spa
dc.publisher Sociedad Médica de Santiago
dc.relation.ispartofseries Revista Médica de Chile
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humanos es_PE
dc.subject Toma de Decisiones es_PE
dc.subject Relaciones Médico-Paciente es_PE
dc.subject Diabetes Mellitus/terapia es_PE
dc.subject Participación del Paciente es_PE
dc.subject América Latina es_PE
dc.title Toma de decisiones compartidas en la atención de pacientes con diabetes mellitus: un desafío para Latinoamérica es_PE
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.4067/S0034-98872017000500012
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00
dc.relation.issn 0717-6163


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