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Tag Archives: Karen Sepucha
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View all results of this resource type.Colleagues at MGH Receive Grant to Foster Shared Decision Making Resident Training
The Picker Institute and Gold Foundation selected our colleagues at Massachusetts General Hospital (MGH) as one of the 2012/2013 Challenge Grant recipients for their proposal entitled “Shared Decision Making in Medication Prescriptions: Improving Communication Skills and Professionalism for Internal Medicine Residents.” The overarching goal of the program will be to enhance the communication skills that residents need to effectively and efficiently implement shared decision making in all of their clinical interactions. Continue reading
Shared Decision Making Month Contributor Spotlight: Karen Sephucha
Karen is the director of the Health Decision Sciences Center at Massachusetts General Hospital and an assistant professor of medicine at the Harvard Medical School. Her research focuses on extending and refining normative and behavioral decision making theories and their application to medical decision making. Recently, Karen’s research has pertained to measuring decision quality and developing survey instruments that can be used to assess the quality of common medical decisions. She has published several articles on the evaluation of decision support interventions. Continue reading
Featured Shared Decision Making Publications
View all results of this resource type.Informing and Involving Patients to Improve the Quality of Medical Decisions
This article describes the current issues surrounding informed patient decision making and how the use of SDM might improve informed decision making. The authors suggest using health information technology to bolster the use and simplify the implementation of SDM, by using it to trigger the delivery of information and collect and store information. The authors also suggest the use of additional surveys to assess patients’ knowledge and goals. The article reviews public and private developments that could facilitate the development of tools and methods to improve patient-centered care. Finally, the authors review policy options for implementation of SDM. Continue reading
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Tagged Carrie Levin, Floyd J. Fowler, Health Affairs, Karen Sepucha, patient perspective, policy, shared decision making
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Policy Support for Patient-Centered Care: The Need for Measurable Improvements in Decision Quality
This article proposes that a new measure of decision quality be implemented in health care settings in order to ensure that patients receive the care they want and understand their health care decisions through measuring concordance of care given to patient preferences. The authors state that the quality of a clinical decision is the “extent to which it reflects the considered needs, values, and expressed preferences of a well-informed patient and is thus implemented.” They suggest that a valid assessment of decision quality would require: 1) decision-specific knowledge 2) values for the salient outcomes and 3) treatments chosen. The paper provides examples where similar measures have been incorporated into care processes. Continue reading
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Tagged Floyd J. Fowler, Health Affairs, Karen Sepucha, patient-centered care, policy
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In The News
View all results of this resource type.[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."Read the full article.
[H&HN] Shared Decision-Making: Giving the Patient a Say. No, Really.
"The SDM concept dates to 1989, when two Dartmouth-Hitchcock Medical Center physicians -- John Wennberg, M.D., and Albert Mulley Jr., M.D. -- started the Informed Medical Decisions Foundation. The next year, the foundation published its first decision aid -- a video to help patients understand the pros and cons of prostate cancer treatments. Since then, the foundation and others have produced hundreds of decision aids and SDM has gained traction steadily, mostly in primary care practices. For the last few years, the foundation has supported SDM demonstrations at Massachusetts General Hospital, Oregon Rural Practice-based Research Network and other sites around the country."Read the full-text article.
