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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
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Tagged decision aids, decision-making, Floyd J. Fowler, health care, medical decisions, Medicare, patients, shared decision making, surgical decisions
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Featured Shared Decision Making Publications
View all results of this resource type.Informed Patient Choice: Patient-Centered Valuing of Surgical Risks & Benefits
With any surgery, consent must be obtained from each patient, and valid consent is based on knowledge of the options, the risks and benefits of each option, and the likelihood that these will occur for the individual patients. The legal doctrine and requirements of informed consent are well known. In theory, informed consent is a process, not a moment in time. In reality, it has occurred when a clinician requests a signature from a patient to authorize that a specific treatment or procedure take place, and the patient signs. In current practice, there is no requirement that shared decision-making occur before the signing of the consent form. 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] Medicare Patients Given Fewer Treatment Options
"More than one-third of Medicare patients who underwent a prostatectomy, and 90% who had elective insertion of a coronary stent, said their physicians gave them no advance information about more conservative options that produce similar survival outcomes, says a survey conducted by the Dartmouth Institute and the Informed Medical Decisions Foundation."Read the full story.
Tagged coronary artery disease, Medicare, stenting
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