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Decision Quality
Decision quality describes the agreement between what an informed patient really wants and the treatment he or she actually receives. Measuring decision quality helps shed light on ways to improve the decision making process and whether or not "good" treatment decisions are being applied in the practice of medicine.
Measuring decision quality can be a challenge. Researchers must assess:
- whether a patient has the knowledge to make an informed decision.
- whether or not the final decision reflects the patient's preferences.
- whether or not the patient is satisfied with the treatment decision made.
Our Library
Below you will find samples of our most recent acquisitions in Decision Quality, grouped by resource type.
Shared Decision-Making® Program Research
View all results of this resource type in Decision Quality.Randomized Trial Examining the Effect of Two Prostate Cancer Screening Educational Interventions on Patient Knowledge, Preferences and Behaviors
August 1, 2004
Partin MR, Nelson D, Radosevich D, et al. Randomized trial examining the effect of two prostate cancer screening educational interventions on patient knowledge, preferences, and behaviors. J Gen Intern Med. 2004;19(8):835-42. Read the abstract. Continue reading
Featured Shared Decision Making Publications
View all results of this resource type in Decision Quality.Shared Decision Making to Improve Care and Reduce Costs
January 3, 2013
A sleeper provision of the Affordable Care Act (ACA) encourages greater use of shared decision making in health care. For many health situations in which there's not one clearly superior course of treatment, shared decision making can ensure that medical care better aligns with patients' preferences and values. One way to implement this approach is by using patient decision aids -- written materials, videos, or interactive electronic presentations designed to inform patients and their families about care options; each option's outcomes, including benefits and possible side effects; the health care team's skills; and costs. Shared decision making has the potential to provide numerous benefits for patients, clinicians, and the health care system, including increased patient knowledge, less anxiety over the care process, improved health outcomes, reductions in unwarranted variation in care and costs, and great alignment of care with patients' values.… Continue reading
Posted in Cost, Decision Aid Effectiveness, Health Care Policy, Patient Decision Aids, Patient Preferences, SDM Implementation
Tagged ACA, CMS, Cochrane Collaborative, decision aids, Group Health, health care costs, HHS, IOM, IPDAS, Medicare, NEJM, PCORI, practice variation, shared decision making
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Communicating with Patients on Health Care Evidence
September 25, 2012
This discussion paper argues for the increased use of shared decision making practices, citing that patients want to be involved in evidence and decisions, that there is a gap between this and what patients get, and that patient satisfaction is linked to shared decision making. These conclusions were reached through research in three stages: environmental scan, qualitative interviews and focus groups, and quantitative survey.… Continue reading
Informed Medical Decisions Foundation Funded Research
View all results of this resource type in Decision Quality.Overdiagnosis in Screening Mammography: Examination of Women's Attitudes and Responses to Information about Overdiagnosis
May 15, 2011
The overall purpose of this research is to contribute to improving communication with the community about screening mammography. The research involves developing and evaluating educational materials and strategies to meet the important ethical objective of providing balanced information about screening outcomes in order to support screening decisions.… Continue reading
Understanding the Experience of Early Stage Breast Cancer Diagnosis and Surgical Treatment among Jordanian Women
September 30, 2010
To understand the experience of being diagnosed with and undergoing surgical treatment for early stage breast cancer among Jordanian women. Study specific aims are to: 1) gain an understanding of women’s knowledge of breast cancer treatment and how their treatment awareness has been informed; 2) explore women’s awareness of their right to be informed and involved in their own medical care; 3) explore women’s preferences for involvement; and 4) identify the extent to which these women perceived that they had surgical treatment options.… Continue reading
