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SDM Implementation
Implementing shared decision making (SDM) holds promise for improving quality, reducing unwarranted variations in care and improving patient satisfaction. Implementing SDM has garnered increased attention from both state and federal health policy makers, providers, purchasers and regulators, as they explore opportunities to integrate patient-centered concepts into clinical practice. Effective implementation of shared decision making can improve the informed consent process and potentially bridge health disparities. Many advocates also believe that implementation of SDM may impact over utilization of medical tests and procedures, therefore affecting health care costs.
Our Library
Below you will find samples of our most recent acquisitions in SDM Implementation, grouped by resource type.
Shared Decision-Making® Program Research
View all results of this resource type in SDM Implementation.Introducing Decision Aids at Group Health was Linked to Sharply Lower Hip and Knee Surgery Rates and Costs
September 4, 2012
Arterburn D, Wellman R, Westbrook E, et al. Introducing decision aids at Group Health was linked to sharply lower hip and knee surgery rates and costs. Health Aff. 2012 Sept 4;(9):2094-104.… Continue reading
Impact of Decision Aids in a Sustained Implementation at a Breast Care Center
June 12, 2011
Belkora JK, Volz S, Teng AE, et al. Impact of decision aids in a sustained implementation at a breast care center. Patient Educ Couns. 2011 Jun 10. [Epub ahead of print]. Read the abstract. Continue reading
Featured Shared Decision Making Publications
View all results of this resource type in SDM Implementation.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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Introducing Decision Aids at Group Health was Linked to Sharply Lower Hip and Knee Surgery Rates and Costs
September 4, 2012
An observational study reporting the changes in surgical rates and costs in the first eighteen months following the start of a program to introduce decision aids for hip and knee osteoarthritis in the Group Health system. They found a 38% reduction in knee surgeries and a 26% reduction in hip surgeries; findings consistent with results from randomized studies of decision aids.… Continue reading
Informed Medical Decisions Foundation Perspectives
View all results of this resource type in SDM Implementation.Shared Decision Making & Medical Costs
October 1, 2010
The strongest argument for shared decision making is that patients have a fundamental right to understand all the reasonable medical options and the arguments for and against each option. Simply put, informing and involving patients in medical decisions is the right thing to do. By being informed and involved, patients have the ability to avoid having surgery that exposes them to risks they do not think are worth the benefits. In addition to those certain benefits, the evidence is also mounting that shared decision making is likely to pay for itself -- and it may well do better than that.… Continue reading
Informed Medical Decisions Foundation Funded Research
View all results of this resource type in SDM Implementation.Effects of Decision Ambiguity on Shared Medical Decision Making
September 30, 2011
To evaluate the impact of ambiguity on shared medical decision making using scenarios on future medicine and unconventional medicine. To develop and test a decision aid tool to help patients and physicians understand ambiguity and to encourage a shared medical decision making process that is applicable to ambiguous decisions that involve future medicine and unconventional medicine. … Continue reading
Barriers and Facilitators to Implementing Decision Boxes in Primary Healthcare Interdisciplinary Teams to Facilitate Shared Decision Making
September 30, 2011
Our primary aim is to explore the barriers and facilitators influencing primary healthcare interdisciplinary teams' use of decision boxes in clinical practice. … Continue reading
