Shared decision-making in inflammatory bowel disease — a step-by-step process

Abstract

Doctor-led medical services alone can not adapt to the diagnosis and treatment of inflammatory bowel disease (IBD) . The model of shared decision-making (SDM) is becoming the mainstream direction of medical decision-making. This is the need of medical ethics, IBD clinical practice and IBD chronic disease management. At present, the biggest obstacle to the implementation of SDM in China is the availability of medical resources and the overall cost. Therefore, in the context of China′s national conditions and medical environment, the implementation of SDM for IBD patients needs a gradual process. In order to achieve the best SDM, clinicians need not only modern medical knowledge and skills, but also patient-centered communication skills. Patients need to be brave and clear. To make the most suitable decision for patients, SDM should be based on the clear expression of desire and common treatment consensus. Key words: Shared decision-making; Inflammatory bowel disease