Tag Archives: decision-making

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Jack Fowler

Shared Decision Making: Who Benefits the Most May Surprise You

Not long ago, I was talking with a news reporter about an article we published on how surgical decisions are made. The paper reported that surgery patients too often were not given enough information about reasonable options. During our discussion the reporter remarked that the findings of the study were all well and good for some people, but didn’t apply to her elderly dad. Her dad would never have wanted to have information or be involved in medical decisions about his care. Instead, he would just look to his wife to tell him what to do. Continue reading
Posted in Current News | Tagged decision aids, decision-making, Floyd J. Fowler, health care, medical decisions, Medicare, patients, shared decision making, surgical decisions | Permalink
NPR News

PSA Testing: Dr. Barry and Dr. McNaughton-Collins Voice their Opinions on NPR this Week

The debate over the U.S. Preventive Services Task Force's (USPSTF) final recommendation on PSA testing continued this week. Michael Barry, president of the Informed Medical Decisions Foundation and Mary McNaughton-Collins, medical director, each had an opportunity to speak on NPR radio programs about the USPSTF recommendation this week. They voiced their views on the recommendation -- both from the perspective of the Foundation and as practicing primary care physicians. Continue reading
Posted in Current News | Tagged decision aids, decision-making, Mary McNaughton-Collins, Michael J. Barry, NEJM, NPR, prostate cancer, prostate cancer screening, PSA test, USPSTF | Permalink

Shared Decision Making Resources

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Ottawa Personal Decision Guide (OPDG)

The Ottawa Personal Decision Guide (OPDG) is a general decision aid tool that can be used for any medical decision. Continue reading
Tagged decision aids, decision-making, Ottawa Personal Decision Guide (OPDG) | Permalink

Featured Shared Decision Making Publications

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Decision-Making Process Reported by Medicare Patients Who Had Coronary Artery Stenting or Surgery for Prostate Cancer

The objective of this study was to learn how decisions were made for two major preference-sensitive interventions: prostate cancer surgery and coronary artery stenting. Through a mail survey of probability samples of patients who underwent these two procedures, the authors found that while prostate cancer surgery patients reported more involvement in the decision making process than elective stent patients, both reports illustrated the need for increased efforts to inform and involve patients facing preference-sensitive intervention decisions. Continue reading
Posted in Decision Quality, Patient Knowledge | Tagged decision-making, Floyd J. Fowler, prostate cancer surgery, stenting | Permalink

Implementing Shared Decision Making in the NHS

Policies to promote shared decision making are becoming prominent in the United States, Canada, and United Kingdom. This is partly because of a recognition of the ethical imperative to properly involve patients in decisions about their care and partly because of the acrruing evidence that the approach has benefits. Shared decision making is an approach where clinicians and patients make decisions together using the best available evidence. Continue reading
Posted in Health Care Policy, Patient Involvement, SDM Implementation | Tagged Angela Coulter, decision-making, evidence-based medicine, Glyn Elwyn, NHS, patient autonomy, patient engagement, patients, shared decision making | Permalink

In The News

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[Reuters Health] Most Women with Cancer Want a Role in Decisions

"'I think it's not so surprising that the actual decision making tended to be more doctor-directed than the patients wanted,' said Dr. Michael Barry, president of the Foundation for Informed Medical Decisions Making, who was not involved in this study."
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Tagged breast cancer, decision-making, Michael J. Barry, Reuters Health, shared decision making | Permalink

[American Medical Association News] Patients' Medical Decisions Benefit from DVD Guidance

"The herniated disk decision aid was crated by the nonprofit Informed Medical Decisions Foundation, also in Boston. The foundation has been developing these kinds of materials since 1990, and is working to implement and test the tools with physicians and patients at 10 health care organizations around the country, including the Stillwater Medical Group in Minnesota and the University of California, San Francisco's Breast Care Center."
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Tagged AMA, decision aids, decision-making, herniated disk, informed patients, Karen Sepucha, medical decisions, Shared Decision-Making® programs | Permalink

Informed Medical Decisions Foundation Funded Research

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Cutting Through the Misguided Conventional Wisdom about Healthcare: How Can We Help the Public Believe Medical Evidence

This study will investigate public perceptions of breast, prostate and colorectal cancer screening by contrasting popular media messages with evidence based information. Continue reading
Posted in Health Care Policy, Investigator-Initiated Grants, Investigator-Initiated Research | Tagged cancer screening, decision-making, health care, medical evidence | Permalink

Decision Making on the Go: A Mobile App Interpretation of a Prostate Cancer Decision Aid

The objectives are to 1) Survey mobile use around health issues in men newly eligible for prostate cancer screening, and 2) to develop a mobile PSA decision aid prototype based on the previously validated internet-based Prosdex decision support intervention (DESI) in preparation for subsequent field testing. Continue reading
Posted in Decision Aid Effectiveness, Investigator-Initiated Research, Robert Derzon Grants | Tagged decision aids, decision-making, DESI, mobile app, prostate cancer, PSA | Permalink