{"id":5138,"date":"2026-10-12T18:30:00","date_gmt":"2026-10-12T11:30:00","guid":{"rendered":"https:\/\/dykhoa.com\/blog\/?post_type=thuat_ngu&p=5123"},"modified":"2026-10-12T18:30:00","modified_gmt":"2026-10-12T11:30:00","slug":"ra-quyet-dinh-y-khoa-chia-se-shared-decision-making","status":"publish","type":"thuat_ngu","link":"https:\/\/dykhoa.com\/blog\/thuat-ngu\/ra-quyet-dinh-y-khoa-chia-se-shared-decision-making\/","title":{"rendered":"Ra quy\u1ebft \u0111\u1ecbnh y khoa chia s\u1ebb (Shared Decision Making) l\u00e0 g\u00ec?"},"content":{"rendered":"

Ra quy\u1ebft \u0111\u1ecbnh y khoa chia s\u1ebb (Shared Decision Making – SDM)<\/strong> l\u00e0 m\u00f4 h\u00ecnh giao ti\u1ebfp l\u00e2m s\u00e0ng trong \u0111\u00f3 nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 b\u1ec7nh nh\u00e2n c\u00f9ng c\u1ed9ng t\u00e1c nh\u01b0 nh\u1eefng \u0111\u1ed1i t\u00e1c b\u00ecnh \u0111\u1eb3ng \u0111\u1ec3 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng \u00e1n x\u00e9t nghi\u1ec7m, \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ch\u0103m s\u00f3c y t\u1ebf t\u1ed1i \u01b0u nh\u1ea5t.<\/p>\n

B\u1ea3n ch\u1ea5t v\u00e0 \u0111\u1ecbnh ngh\u0129a h\u1ecdc thu\u1eadt<\/h2>\n

\u0110\u01b0\u1ee3c h\u1ec7 th\u1ed1ng h\u00f3a b\u1edfi Charles, Gafni v\u00e0 Whelan (1997), SDM l\u00e0 b\u01b0\u1edbc \u0111\u1ed9t ph\u00e1 v\u01b0\u1ee3t qua hai th\u00e1i c\u1ef1c sai l\u1ea7m: (1) M\u00f4 h\u00ecnh gia tr\u01b0\u1edfng \u0111\u1ed9c \u0111o\u00e1n (Paternalistic model) – b\u00e1c s\u0129 t\u1ef1 quy\u1ebft \u0111\u1ecbnh m\u1ecdi th\u1ee9 v\u00e0 \u00e1p \u0111\u1eb7t l\u00ean b\u1ec7nh nh\u00e2n; v\u00e0 (2) M\u00f4 h\u00ecnh th\u00f4ng b\u00e1o ph\u00f3 m\u1eb7c (Informed choice model) – b\u00e1c s\u0129 ch\u1ec9 li\u1ec7t k\u00ea m\u1ed9t \u0111\u1ed1ng th\u00f4ng tin r\u1ed3i \u0111\u1ec3 m\u1eb7c b\u1ec7nh nh\u00e2n b\u1ed1i r\u1ed1i t\u1ef1 ch\u1ecdn. Trong SDM, b\u00e1c s\u0129 \u0111\u00f3ng g\u00f3p chuy\u00ean m\u00f4n y khoa (ch\u1ea9n \u0111o\u00e1n, ti\u00ean l\u01b0\u1ee3ng, r\u1ee7i ro v\u00e0 l\u1ee3i \u00edch c\u1ee7a t\u1eebng ph\u00e1c \u0111\u1ed3), c\u00f2n b\u1ec7nh nh\u00e2n \u0111\u00f3ng g\u00f3p c\u00e1c gi\u00e1 tr\u1ecb s\u1ed1ng, ho\u00e0n c\u1ea3nh t\u00e0i ch\u00ednh, m\u1ee9c \u0111\u1ed9 ch\u1ea5p nh\u1eadn r\u1ee7i ro v\u00e0 m\u1ee5c ti\u00eau c\u00e1 nh\u00e2n c\u1ee7a h\u1ecd.<\/p>\n

B\u1ed1i c\u1ea3nh v\u00e0 \u1ee9ng d\u1ee5ng th\u1ef1c ti\u1ec5n<\/h2>\n

SDM \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng trong c\u00e1c t\u00ecnh hu\u1ed1ng “nh\u1ea1y c\u1ea3m v\u1edbi s\u1edf th\u00edch” (preference-sensitive conditions) \u2014 n\u01a1i c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb v\u1edbi t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng nhau nh\u01b0ng \u0111\u00e1nh \u0111\u1ed5i c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c nhau (nh\u01b0 l\u1ef1a ch\u1ecdn gi\u1eefa ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n hay c\u1eaft b\u1ecf ho\u00e0n to\u00e0n trong ung th\u01b0 v\u00fa, ho\u1eb7c l\u1ef1a ch\u1ecdn sinh th\u01b0\u1eddng hay sinh m\u1ed5).<\/p>\n

V\u00ed d\u1ee5 minh ho\u1ea1 th\u1ef1c t\u1ebf<\/h2>\n

B\u00e1c s\u0129 s\u1eed d\u1ee5ng m\u1ed9t “C\u00f4ng c\u1ee5 h\u1ed7 tr\u1ee3 ra quy\u1ebft \u0111\u1ecbnh” (Patient Decision Aid) tr\u1ef1c quan b\u1eb1ng h\u00ecnh \u1ea3nh \u0111\u1ec3 gi\u1ea3i th\u00edch cho b\u1ec7nh nh\u00e2n b\u1ecb tho\u00e1i h\u00f3a kh\u1edbp g\u1ed1i v\u1ec1 hai con \u0111\u01b0\u1eddng: ph\u1eabu thu\u1eadt thay kh\u1edbp (gi\u1ea3m \u0111au nhanh nh\u01b0ng c\u00f3 r\u1ee7i ro ph\u1eabu thu\u1eadt v\u00e0 th\u1eddi gian h\u1ed3i ph\u1ee5c l\u00e2u) ho\u1eb7c v\u1eadt l\u00fd tr\u1ecb li\u1ec7u k\u1ebft h\u1ee3p gi\u1ea3m c\u00e2n (ch\u1eadm h\u01a1n nh\u01b0ng an to\u00e0n, \u00edt t\u1ed1n k\u00e9m). B\u00e1c s\u0129 c\u00f9ng l\u1eafng nghe k\u1ebf ho\u1ea1ch c\u00f4ng vi\u1ec7c c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ec3 th\u1ed1ng nh\u1ea5t ph\u00e1c \u0111\u1ed3 ph\u00f9 h\u1ee3p nh\u1ea5t v\u1edbi l\u1ed1i s\u1ed1ng c\u1ee7a h\u1ecd.<\/p>\n

Nh\u1eefng \u0111i\u1ec3m l\u01b0u \u00fd quan tr\u1ecdng<\/h2>\n
    \n
  • T\u0103ng c\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 gi\u1ea3m c\u1ea3m gi\u00e1c h\u1ed1i ti\u1ebfc sau khi th\u1ef1c hi\u1ec7n can thi\u1ec7p y khoa.<\/li>\n
  • \u0110\u00f2i h\u1ecfi th\u1eddi gian t\u01b0 v\u1ea5n k\u1ef9 l\u01b0\u1ee1ng v\u00e0 k\u1ef9 n\u0103ng giao ti\u1ebfp kh\u00f4ng ph\u00e1n x\u00e9t t\u1eeb ng\u01b0\u1eddi th\u1ea7y thu\u1ed1c.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

    Quy tr\u00ecnh h\u1ee3p t\u00e1c gi\u1eefa b\u00e1c s\u0129 v\u00e0 b\u1ec7nh nh\u00e2n \u0111\u1ec3 c\u00f9ng \u0111\u01b0a ra l\u1ef1a ch\u1ecdn ch\u0103m s\u00f3c y t\u1ebf, c\u00e2n b\u1eb1ng gi\u1eefa b\u1eb1ng ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 gi\u00e1 tr\u1ecb, nguy\u1ec7n v\u1ecdng c\u00e1 nh\u00e2n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n","protected":false},"author":1,"featured_media":0,"template":"","nhom_thuat_ngu":[473],"class_list":["post-5138","thuat_ngu","type-thuat_ngu","status-publish","hentry","nhom_thuat_ngu-truyen-thong-suc-khoe"],"yoast_head":"\nRa quy\u1ebft \u0111\u1ecbnh y khoa chia s\u1ebb (Shared Decision Making) l\u00e0 g\u00ec? - Dy Khoa Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dykhoa.com\/blog\/thuat-ngu\/ra-quyet-dinh-y-khoa-chia-se-shared-decision-making\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ra quy\u1ebft \u0111\u1ecbnh y khoa chia s\u1ebb (Shared Decision Making) l\u00e0 g\u00ec? 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