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中文摘要：
医患共同决策（SDM）是指患者参与医疗决策过程,与医生一起充分沟通讨论不同医疗选择的利弊后做出最终决策的医疗模式。这一方式有助于让患者参与医疗决策过程,从而提高患者的依从性、增强医患间信任,提高患者满意度,最终改善长期预后。本文通过介绍SDM定义、要素、应用场景以及决策工具应用,进而以国外心血管病SDM研究为背景,最后介绍中国首次开展SDM研究如他汀选择、慢性闭塞性病变（CTO）选择的内容与结果,结合这些研究开展推进的情况,指出中国推广SDM研究的问题和可能解决方案。
英文摘要：
Share-decision making （SDM） refers to the model in which clinical decisions are made by both doctors and patients through discussing. It aims to involve patients into the procedure ff making a clinical decision% thus provides a promising prospect for optimizing the clinical decision, enhancing doctor-patient trust% increasing satisfaction% which may improve the long-term prognosis of patients. Hence% firstly we introduce the definition% elements% application scenarios ofSDM and decision aids of SDM. Then we reviewed the researches of SDM in patients with were completed by western countries. Moreover % we evaluated the feasibility of SDM in China patients and indicated the barriers of SDM implement from ongoing trials such as Statin Choice% CTO Choice. Finally % we proposed the feasible solution scheme of promoting SDM in present China.
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