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TMR Integrative Medicine  2018, Vol. 2 Issue (3): 99-104     DOI: 10.12032/TMRIM201802027
Review     
The concept of narrative evidence-based medicine and shared decision-making in traditional Chinese medical practice
Mu Wei1, Shang Hong-Cai3, Gu Xu-Fang1, Zhang Li1, Li Yan-Fen1, Li Jie2, Wang Rui-Hua1, Huang Yu-Hong1,*(), Wang Bao-He2,*()
1Department of Clinical Pharmacology, Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
2The second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Cardiovascular Department, Tianjin, China
3Key Laboratory of Traditional Chinese Medical Sciences of Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing, China.
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Highlights:

The author described the origins and development of evidence-based medicine, narrative medicine and shared decision-making, and analyzed the existing problems in TCM clinical decision-making.

Abstract

For the explosive development of emerging diagnostic and therapeutic technologies brought by the advancement of precision medicine strategy, shared decision-making could improve the quality of clinical decision-making and promote the transformation of clinical research evidence in TCM. Paying attention to patients' narrative needs and strengthening medical humanistic concerns could improve clinical outcome and patient satisfaction. We described the origins and development of evidence-based medicine, narrative medicine and shared decision-making, and analyzed the existing problems in TCM clinical decision-making. Further, we put forward the model of shared decision-making between clinicians and patients under the guidance of narrative evidence-based medicine concepts and methods.



Key wordsNarrative evidence-based medicine      Clinical practice of TCM      shared decision-making      Decision aids     
Published: 14 September 2018
Corresponding Authors: Huang Yu-Hong,Wang Bao-He     E-mail: hyh101@126.com;wbh3423@sina.com
Cite this article:

Mu Wei, Shang Hong-Cai, Gu Xu-Fang, Zhang Li, Li Yan-Fen, Li Jie, Wang Rui-Hua, Huang Yu-Hong, Wang Bao-He. The concept of narrative evidence-based medicine and shared decision-making in traditional Chinese medical practice. TMR Integrative Medicine, 2018, 2 (3): 99-104.  

URL:

https://www.tmrjournals.com/im/EN/10.12032/TMRIM201802027     OR     https://www.tmrjournals.com/im/EN/Y2018/V2/I3/99

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[1] Tian Peng, Wang Tao, Wang Bao-He, Li Jie, Xu Qiang, Kong Deng-Feng, Mu Wei, Huang Yu-Hong. A review on the International Patient Decision Aid Standards (IPDAS): history, development and application[J]. TMR Integrative Medicine, 2018, 2(3): 121-132.
[2] Kong Deng-Feng, Shi Xiao-Chi, Wang Bao-He, Huang Yu-Hong, Xu Qiang, Tian Peng, Zhao Ying-Qiang, Mu Wei, Shang Hong-Cai. Patient decision aids for cardiovascular disease: the status-quo and prospects[J]. TMR Integrative Medicine, 2018, 2(3): 105-120.