Cost

Many advocates of shared decision making (SDM) believe that implementation of the process may reduce over utilization of medical tests and procedures. Therefore, we may see a reduction in health care costs when patients and providers engage in SDM.

Our Library

Below you will find samples of our most recent acquisitions in Cost, grouped by resource type.

Shared Decision-Making® Program Research

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Introducing Decision Aids at Group Health was Linked to Sharply Lower Hip and Knee Surgery Rates and Costs

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
Posted in Cost, Decision Aid Effectiveness, Patient Decision Aids, SDM Implementation | Tagged arthritis, David Arterburn, decision aids, Group Health, Health Affairs, health care cost, hip osteoarthritis, informed decision, knee osteoarthritis, surgery Permalink

Featured Shared Decision Making Publications

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Shared Decision Making to Improve Care and Reduce Costs

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 Permalink

Introducing Decision Aids at Group Health was Linked to Sharply Lower Hip and Knee Surgery Rates and Costs

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
Posted in Cost, Decision Aid Effectiveness, Patient Decision Aids, SDM Implementation | Tagged arthritis, David Arterburn, decision aids, Group Health, Health Affairs, health care cost, hip osteoarthritis, informed decision, knee osteoarthritis, surgery Permalink
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Informed Medical Decisions Foundation Perspectives

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Shared Decision Making & Medical Costs

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
Posted in Cost | Tagged decision aids, practice variation, shared decision making Permalink

Informed Medical Decisions Foundation Funded Research

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Are Patient Decision Aids for Total Joint Replacement Cost-Effective and Do They Optimize the Surgical Referral Process from Primary Care

The overall goal of this study is to evaluate the effects of patient decision aids (pDAs) on improving decision quality and reducing length of surgical consults for TJA, and their cost-effectiveness. …  Continue reading
Posted in Cost, Decision Aid Effectiveness, Decision Quality, Health Care Policy, Investigator-Initiated Grants, Investigator-Initiated Research, Patient Decision Aids, Patient Knowledge, Patient Preferences, SDM Implementation | Tagged decision aids, joint replacement, primary care Permalink