Tag Archives: informed consent

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What Will it Take to Avoid Avoidable Care? Nothing Less than a Culture Shift Say Conference Organizers

Last week the first major medical meeting devoted to the topic of avoidable care was held in Cambridge, MA. The two-day Avoiding Avoidable Care Conference was organized by the Lown Cardiovascular Research Foundation and the New America Foundation, and co-hosted by the Institute of Medicine. Attendees included experienced, practicing clinicians from a broad range of medical specialties, along with thought leaders in health policy. Continue reading
Posted in Current News | Tagged avoidable care, Benjamin Moulton, Harvey Fineberg, informed consent, Institute of Medicine, Lown Cardiovascular Research Foundation, New America Foundation, patient-centered care, shared decision making | Permalink

At the State Policy Level, Shared Decision Making is Here to Stay

Shared decision making garnered national attention when it was among delivery system reforms contained in the new Center for Medicare and Medicaid Innovation that was signed into law as part of the Accountable Care Act (ACA). The much anticipated Supreme Court ruling on the fate of ACA will happen in a matter of weeks. Regardless of what the Supreme Court decides, Benjamin W. Moulton, Foundation senior legal advisor, does not want policy makers to lose sight of how shared decision making is, and will continue to be, an important tool for improving health care delivery at the state level. Continue reading
Posted in Current News | Tagged Benjamin Moulton, health care costs, health care policy, health care policy makers, informed consent, medical ethics, shared decision making, state policy | Permalink

Featured Shared Decision Making Publications

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Rethinking Informed Consent: The Case for Shared Medical Decision-Making

This comprehensive article examines the current status and history of informed consent requirements and argues that states should clarify their informed consent requirements to include shared decision making (SDM) as a prerequisite to a valid informed consent. The article reviews the challenges associated with modern informed consent practices and the ethical and legal foundations of informed consent. It also examines the clinical evidence for treatment patterns and patient information needs that suggest a weakness in the current legal standards. It then compares the effectiveness and implications of the three different standards of informed consent, physician-based, patient-based and shared medical decision making, and analyzes the policy implications required to implement SDM. Continue reading
Posted in Health Care Policy | Tagged Benjamin Moulton, informed consent, policy, shared decision making | Permalink

Informed Consent to Promote Patient-Centered Care

This commentary article suggests the need for an improved informed consent form in order to advance patient-centered care and the proportion of patients that are well informed prior to a procedure. The author suggests that patients considering an elective procedure should be given a brief standardized and personalized informed consent document that provides information in five areas: risks, benefits, alternatives, experience and cost. The purpose of this form would be to facilitate meaningful discussion with physicians. Continue reading
Posted in Decision Quality, Patient Knowledge | Tagged informed consent, patient-centered care | Permalink

Informed Medical Decisions Foundation Funded Research

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Can a Customized Quantitative Informed Consent Document Improve Decision Quality and Be Integrated into the Care Process?

Project developed and tested a customized quantitative informed consent document IC, including risks, benefits and alternatives, for those considering CABG surgery or PCI. Continue reading
Posted in Decision Quality, Directed Research, Patient Involvement, Risk Communication | Tagged informed consent, patient-centered care | Permalink

Abdominal Aortic Aneurysm Repair: Facilitating Collaborative Decision-Making

Ultimately, in order to test the effectiveness of this tool, we performed a randomized controlled trial. Attention was be paid to levels of anxiety and regret among patients in the two different treatment groups, and validated measures of decisional process and decisional quality were used. By seeking the opinion of vascular surgeons nationwide, we anticipated that they be invested in this research agenda and more likely to support the intervention trial and subsequent dissemination efforts. Continue reading
Posted in Investigator-Initiated Research, Patient Involvement, Robert Derzon Grants | Tagged abdominal aortic aneurysm, informed consent, shared decision making | Permalink