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Tag Archives: informed decisions
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Commemorating a Career Dedicated to Shared Decision Making in Breast Cancer Care
In 1960, Harriet Gudenburr embarked on a nursing career that would span more than five decades and would touch the lives of hundreds of patients. In September 2011, Harriet retired from her position at Allegheny General Hospital where she had established the Informed Decision Making program at the hospital's Breast Care Center. In partnership with the Informed Medical Decisions Foundation, Harriet and her team ensured patients were provided shared decision making (SDM) opportunities on their breast cancer journey. Continue reading
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Tagged breast cancer, health care providers, informed decisions, patients, shared decision making
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Foundation's Response to USPSTF Final PSA Testing Recommendation
The U.S. Preventive Services Task Force (USPSTF) published their final recommendation on PSA testing in an Annals of Internal Medicine article this week. The panel advises against PSA-based prostate cancer screening for men of all ages. The rationale for this recommendation is based on the panel’s moderate certainty that the potential harms outweigh the benefits for all age groups. Based on clinical evidence from two large randomized trials evaluated by the panel, at most 1 out of 1,000 men screened will avoid dying from prostate cancer over 10 years, while many more men will be left with permanent disabilities from their treatment, such as incontinence (18 in 1,000) or impotence (29 in 1,000). Continue reading
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Tagged informed decisions, men, Michael J. Barry, prostate cancer screening, PSA test, shared decision making, USPSTF
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Featured Shared Decision Making Publications
View all results of this resource type.Partnerships with Patients: The Pros and Cons of Shared Clinical Decision-Making
The traditional style of medical decision-making in which doctors take sole responsibility for treatment decisions is being challenged. Attempts are being made to promote shared decision-making in which patients are given the opportunity to express their values and preferences and to participate in decisions about their care. Critics of shared decision-making argue that most patients do not want to participate in decisions; that revealing the uncertainties inherent in medical care could be harmful; that it is not feasible to provide information about the potential risks and benefits of all treatment options; and that increasing patient involvement in decision-making will lead to greater demand for unnecessary, costly or harmful procedures which could undermine the equitable allocation of health care resources. Continue reading
In The News
View all results of this resource type.[ScienceLine] Visualizing the very end: A group of doctors advocates use of videos in advance care planning
"For the better part of the last decade, Volandes, who studied filmmaking during medical school, has been producing short videos to inform decision making about end-of-life care. With funding from the federal government and the [Informed Medical Decisions Foundation], Volandes and other doctors have tested the videos in controlled studies, and they have been integrated into standard practice at 35 large health care organizations in the U.S."Read the full-text article.
[HealthLeaders Media] 'Informed Decision' May Irk Surgeons as it Cuts Costs, Improves Quality
"In Boston, the Informed Medical Decisions Foundation is developing tools for health plans and others to help patients learn more about the procedures they are about to undergo. The foundation defines an informed decision even more broadly."Read the full article.
