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A Passion for Shared Decision Making Unites Nurses Living 4,000 Miles Apart
Any outsider listening to the phone conversation that occurred this summer between Kelly Taylor, director of quality improvement at Mercy Clinics, Inc. in Des Moines, Iowa and Jane Price, the lead nurse for patient experience at Aneurin Bevan Health Board in Gwent, Wales, would have though they were listening to old friends exchanging stories about a shared history of palliative care nursing. Although they had never met in person, this first conversation between the two was a seamless hour long exchange of personal anecdotes, lessons learned from their work, and hope for the future of health care for those suffering from terminal disease. Continue reading
Author Spotlight: Angela Coulter, PhD
"What [we need] is a radical change in the way medicine is practiced," says Angela Coulter, director of global initiatives at the Informed Medical Decisions Foundation and author of Engaging Patients in Healthcare, her latest book. Angela's book is a comprehensive, evidence-based textbook that explores the ways in which patient engagement can improve overall health care. Continue reading
Posted in Author Spotlight, Current News
Tagged Angela Coulter, health care, patient engagement, patients
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Shared Decision-Making® Program Research
View all results of this resource type.A Randomized Controlled Trial of Information-giving to Patients Referred for Coronary Angiography: Effects on Outcomes of Care
Bernstein SJ, Skarupski KA, Grayson CE, et al. A randomized controlled trial of information-giving to patients referred for coronary angiography: Effects on outcomes of care. Health Expect. 1998;1(1):50–61.
Read the abstract.
Involving Patients in Clinical Decisions: Impact of an Interactive Video Program on Use of Back Surgery
Deyo RA, Cherkin DC, Weinstein J, et al. Involving patients in clinical decisions: Impact of an interactive video program on use of back surgery. Med Care. 2000;38(9):959-69.
Read the abstract.
Featured Shared Decision Making Publications
View all results of this resource type.Making Shared Decision-Making A Reality
This short book outlines the importance of strong communication skills and illustrates how health care providers might using shared decision making in their consultations with patients. Inspired by Secretary of State for Health, Andrew Lansley's phrase "nothing about me, without me," the authors aim to expand on the meaning of Lansley's vision. The authors define the term "shared decision making", provide examples of skills necessary to implement this process and outline actions necessary to make this vision a reality. Continue reading
Implementing Shared Decision Making in the NHS
Policies to promote shared decision making are becoming prominent in the United States, Canada, and United Kingdom. This is partly because of a recognition of the ethical imperative to properly involve patients in decisions about their care and partly because of the acrruing evidence that the approach has benefits. Shared decision making is an approach where clinicians and patients make decisions together using the best available evidence. Continue reading
In The News
View all results of this resource type.[New York Times Well Blog] Do Patients Want More Care or Less?
"See a trend here? So does Dr. Michael Barry, president of the Informed Medical Decisions Foundation, a nonprofit group that promotes sound medical thinking. 'People are more receptive to conversations about medical interventions having both pros and cons,' says Dr. Barry. 'Traditionally, newer and more aggressive interventions were often assumed to be better.' But there are hints of a shift, he says: 'When patients are fully informed, they tend to be more conservative.'"Read the blog post.
Informed Medical Decisions Foundation Funded Research
View all results of this resource type.Enhancing Comprehension of Graphically Presented Medical Data: Designs to Help People with Low Graph Literacy
In order to make informed medical decisions, patients need to understand information about risks, benefits and drawbacks of different treatments. However, research on health literacy and medical decision making has shown that patients in different cultures have severe problems grasping a host of numerical concepts that are prerequisites for understanding health-relevant statistical information. Graphical displays -- including line plots, bar charts or icon arrays -- often facilitate the communication of numerical information, and can help overcome some of these difficulties. Continue reading
