Shared decision-making (SDM) is a hallmark of patient-centred care that uses informed consent to help guide patients with making complex health-care decisions. In SDM, patients and providers work together to determine the best course of action based on both the current available evidence and the patient’s values and preferences. SDM not only provides a framework for the legal and ethical obligations providers need to fulfil for informed consent, but also leads to improved knowledge of treatment options and satisfaction of decision-making for patients. Tools such as decision aids have been developed to support SDM for complex decisions. Several decision aids are available for use in the field of urology and female pelvic medicine and reconstructive surgery, but these decision aids are also associated with barriers to SDM implementation including patient, provider and systematic challenges. However, solutions to such barriers to SDM include continued development of SDM tools to improve patient engagement, expand training of providers in SDM communication models and a process to encourage implementation of SDM.

共享决策 (SDM) 是以患者为中心的护理的标志，它使用知情同意来帮助指导患者做出复杂的医疗保健决策。在 SDM 中，患者和提供者共同努力，根据当前可用的证据以及患者的价值观和偏好确定最佳行动方案。SDM 不仅为提供者为获得知情同意而需要履行的法律和道德义务提供了一个框架，而且还可以提高患者对治疗方案的了解和对决策的满意度。已经开发了诸如决策辅助工具之类的工具来支持 SDM 进行复杂的决策。一些决策辅助工具可用于泌尿外科和女性盆腔医学和重建手术领域，但这些决策辅助也与 SDM 实施的障碍有关，包括患者、提供者和系统性挑战。然而，解决 SDM 障碍的解决方案包括继续开发 SDM 工具以提高患者参与度，扩大对提供者的 SDM 通信模型培训，以及鼓励实施 SDM 的过程。