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Shared treatment decision-making and the use of decision-aids

Cathy Charles and Amiram Gafni

in Handbook of Communication in Oncology and Palliative Care

Published in print:
2010
Published Online:
November 2011
ISBN:
9780199238361
eISBN:
9780191730290
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199238361.003.0004
Subject:
Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research

Over the past fifteen years or so, shared decision-making, a specific approach to making decisions in the medical encounter, has received considerable conceptual and practical attention among ... More


Demystifying decision aids: A practical guide for clinicians

Rachel Thompson and Lyndal Trevena

in Shared Decision Making in Health Care: Achieving evidence-based patient choice

Published in print:
2016
Published Online:
September 2016
ISBN:
9780198723448
eISBN:
9780191790096
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198723448.003.0009
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

Shared decision making (SDM) is widely recognized as a strategy for delivering person-centered medicine and upholding the autonomy of patients. Less widespread, however, is an appreciation of how to ... More


The effects of patient decision aids: A systematic review

Dawn Stacey, France Légaré, Karen Eden, Nananda Col, and Annie LeBlanc

in Shared Decision Making in Health Care: Achieving evidence-based patient choice

Published in print:
2016
Published Online:
September 2016
ISBN:
9780198723448
eISBN:
9780191790096
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198723448.003.0022
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

The purpose of this chapter is to summarize what clinicians should know about patient decision aids (PDAs) and to identify areas where further studies are needed. PDAs present evidence in ... More


Case study: Changing culture and delivery to achieve shared decision making at Dartmouth-Hitchcock Medical Center, New Hampshire

Alice O. Andrews, Stephen A. Kearing, and Dale C. Vidal

in Shared Decision Making in Health Care: Achieving evidence-based patient choice

Published in print:
2016
Published Online:
September 2016
ISBN:
9780198723448
eISBN:
9780191790096
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198723448.003.0031
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

Early decision aid studies described in the Cochrane Collaboration, and implementation projects including the Dartmouth-Hitchcock Medical Center (DHMC) Spine Center suggest that shared decision ... More


Engaging clinical teams in an interprofessional approach to shared decision making

Dawn Stacey, France Légaré, and Nathalie Brière

in Shared Decision Making in Health Care: Achieving evidence-based patient choice

Published in print:
2016
Published Online:
September 2016
ISBN:
9780198723448
eISBN:
9780191790096
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198723448.003.0011
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

In this chapter, we discuss an interprofessional approach to shared decision making (SDM) and provide a practical approach for engaging clinical teams. Interprofessional SDM is the process by which ... More


Implementing shared decision making: A systematic review

France Légaré, Isabelle Scholl, Dawn Stacey, and Stéphane Turcotte

in Shared Decision Making in Health Care: Achieving evidence-based patient choice

Published in print:
2016
Published Online:
September 2016
ISBN:
9780198723448
eISBN:
9780191790096
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198723448.003.0023
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

Shared decision making (SDM) is not yet a reality in most clinical practices. A recently updated Cochrane review of the effectiveness of interventions to implement SDM in clinical practices found 39 ... More


Tools to engage patients in clinical encounters

Glyn Elwyn and Victor M. Montori

in Shared Decision Making in Health Care: Achieving evidence-based patient choice

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 ... More


Case study: Interventions to create better conversations at the Mayo Clinic

Claudia Zeballos-Palacios, Annie LeBlanc, Erik P. Hess, Jon Tilburt, Kirk Wyatt, Kasey Boehmer, Maggie Breslin, Megan Branda, and Victor M. Montori

in Shared Decision Making in Health Care: Achieving evidence-based patient choice

Published in print:
2016
Published Online:
September 2016
ISBN:
9780198723448
eISBN:
9780191790096
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198723448.003.0034
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

The Knowledge and Evaluation Research Unit (KER Unit) was founded in 2004 at Mayo Clinic, Rochester, Minnesota, to promote evidence based practices and to generate evidence and interventions in a way ... More


Case study: Letting patients decide—A novel distribution strategy in primary care, Massachusetts General Hospital

Leigh Simmons, Lauren Leavitt, and Karen Sepucha

in Shared Decision Making in Health Care: Achieving evidence-based patient choice

Published in print:
2016
Published Online:
September 2016
ISBN:
9780198723448
eISBN:
9780191790096
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198723448.003.0032
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

Primary care providers at Massachusetts General Hospital (MGH) have been able to prescribe patient decision aids (PDAs) through the electronic medical record since 2005. However, several providers ... More


Shared decision making: A path to customized rather than commercialized health care

Glyn Elwyn and Adrian Edwards

in Shared Decision Making in Health Care: Achieving evidence-based patient choice

Published in print:
2016
Published Online:
September 2016
ISBN:
9780198723448
eISBN:
9780191790096
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198723448.003.0001
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter reflects on arguments supporting achievement of shared decision making (SDM). Policy support for SDM has been evident in many countries and research by many groups has investigated the ... More


Emerging legal issues for providers in the USA

Benjamin W. Moulton and Thaddeus M. Pope

in Shared Decision Making in Health Care: Achieving evidence-based patient choice

Published in print:
2016
Published Online:
September 2016
ISBN:
9780198723448
eISBN:
9780191790096
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198723448.003.0007
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

The legal doctrine of informed consent has largely failed to meaningfully empower patients to make medical diagnostic and treatment decisions that match their preferences. As practised, informed ... More


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