Glyn Elwyn and Victor M. Montori
- Published in print:
- 2016
- Published Online:
- September 2016
- ISBN:
- 9780198723448
- eISBN:
- 9780191790096
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198723448.003.0010
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
We refer to ‘encounter tools’ to draw a distinction from tools that have been primarily designed to give patients information prior to their visits to clinicians, (patient decision aids; PDAs) and ...
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We refer to ‘encounter tools’ to draw a distinction from tools that have been primarily designed to give patients information prior to their visits to clinicians, (patient decision aids; PDAs) and which we consider to be pre-encounter tools. Although there is consistent evidence that pre-encounter PDAs increase patient knowledge, data showing that they lead to changes in communications is less robust and often based on response to a single survey item. There is no body of evidence from observational research that pre-encounter tools lead to shared decision making (SDM). Published evidence shows that tools designed to promote collaboration and deliberation facilitate SDM. Such tools must be based on high-quality synthesis of research evidence and be brief enough to use in conversations between patients and clinicians. Gathering more data about how to motivate clinicians to use these tools and get them embedded into clinical practice is the next task.Less
We refer to ‘encounter tools’ to draw a distinction from tools that have been primarily designed to give patients information prior to their visits to clinicians, (patient decision aids; PDAs) and which we consider to be pre-encounter tools. Although there is consistent evidence that pre-encounter PDAs increase patient knowledge, data showing that they lead to changes in communications is less robust and often based on response to a single survey item. There is no body of evidence from observational research that pre-encounter tools lead to shared decision making (SDM). Published evidence shows that tools designed to promote collaboration and deliberation facilitate SDM. Such tools must be based on high-quality synthesis of research evidence and be brief enough to use in conversations between patients and clinicians. Gathering more data about how to motivate clinicians to use these tools and get them embedded into clinical practice is the next task.
