临床决策中患者及其家属的地位与作用

医生、医院每天都在为患者做临床决策。而在各个决策中患者与家属应该处于什么地位的问题早有争论。除了疾病外患者性别、年龄、家庭、经济、社会地位的个体差异决定了医生决策的不同。患者要真正参与，就必须真正全面知情。关于患者参与多少的问题要因人而异，可能只是提出意愿，可能提出耗资的底线，可能权衡费效比，可能以生活质量为唯一原则。总之，临床决策中患者及其家属的地位因人而异。

The Function and Role of Patients and Relatives in Clinical Decision

Physicians and hospital are making clinical decision every day. It has been discussed what role patients and their relatives should play. The clinical decision was made by physician depending on the differences of patient＇s disease and as long as gender, age, family, financial and social position. Patients must be completely clear about their situation so to make a right clinical decision. It varies with each individual as to what extent patients may be involved in the decision mak- ing. They may just express their wish or they may pay attention to the cost benefit ot they may only focus on quality of life. On the whole, the function and role of patients and their relatives in clinical decision is vary with each individual.