Tag Archives: medical ethics

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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

Shared Decision-Making® Program Research

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Reactions of Potential Jurors to a Hypothetical Malpractice Suit Alleging Failure to Perform a Prostate-Specific Antigen Test

Barry MJ, Wescott PH, Reifler EJ, et al. Reactions of potential jurors to a hypothetical malpractice suit alleging failure to perform a prostate-specific antigen test. J Law Med Ethics. 2008 Summer;36(2):396-402, 214. Read the abstract.
Posted in Patient Decision Aids | Tagged medical ethics, medical malpractice, PSA test, Shared Decision-Making® programs | Permalink

Featured Shared Decision Making Publications

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Shared Decision Making: A Model for Clinical Practice

The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. Continue reading
Posted in Patient Preferences, SDM Implementation | Tagged decision support, decision-making, Glyn Elwyn, medical ethics, patients, shared decision making | Permalink

Informed Medical Decisions Foundation Funded Research

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Video Images of Disease for Ethical Outcomes: The VIDEO STUDY

In previous work, the Principal Investigator successfully demonstrated that a video of the goals of care in advanced cancer improved understanding and decision making in a small group of patients with advanced brain cancer. The video presents end-of-life options within the framework of the patient’s primary goals of care (i.e., life prolongation, maintenance of function, or comfort care). Building on this earlier work, the main goal of this study is to conduct a randomized controlled trial of the video decision support tool (vs. a verbal narrative) to test the hypothesis that the video improves the decision-making process among persons with advanced cancer. Continue reading
Posted in Decision Aid Components, Investigator-Initiated Grants, Investigator-Initiated Research, Special Populations | Tagged decision support, decision-making, end of life, medical ethics, The VIDEO STUDY | Permalink