"What [we need] is a radical change in the way medicine is practiced," says Angela Coulter, director of global initiatives at the Informed Medical Decisions Foundation and author of Engaging Patients in Healthcare, her latest book. Angela's book is a comprehensive, evidence-based textbook that explores the ways in which patient engagement can improve overall health care.
In response to the National Institute for Health and Clinical Excellence's (NICE) guidelines on patient experience quality standards, the authors aim to provide an overview of the guidance. This editorial discusses key points of the NICE guidelines, as well as the benefits of implementation and the challenges that remain.
This article discusses the use of patient decision aids in routine clinical practice for patients considering knee replacement surgery. The decision surrounding a diagnosis of knee osteoarthritis is an example of a preference-sensitive decision, meaning there is more than one viable option. Unfortunately, when patients are not fully informed, they are often unsatisfied with the outcome due to unrealistic expectations and a lack of understanding of the potential benefits and harms. The authors describe how implementation of patient decision aids, to support a shared decision making process, may address these issues and improve patient satisfaction, specifically in the context of knee replacement surgery.