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Tag Archives: shared decision making
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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
Shared Decision Making Resources
View all results of this resource type.Mayo Clinic SDM National Resource Center
The Shared Decision Making National Resource Center at Mayo Clinic promotes shared decision making through development, implementation and assessment of decision aid tools and SDM techniques. Continue reading
MAGIC Programme
MAGIC, based in the UK, explores how shared decision making can be implemented in routine medical practice. Through awareness campaigns, MAGIC is educating patients and providers about decision-support tools and the effectiveness of shared decision making. Continue reading
Shared Decision-Making® Program Research
View all results of this resource type.A Randomized Trial of a Multimedia Shared Decision Making Program for Men Facing A Treatment Decision for Benign Prostatic Hyperplasia
Barry MJ, Cherkin DC, Chang Y, et al. A randomized trial of a multimedia shared decision-making program for men facing a treatment decision for benign prostatic hyperplasia. Disease Management and Clinical Outcomes. 1997;1(1):5–14.
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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.Use of Video to Facilitate End-of-Life Discussions with Patients with Cancer
This article describes a study that found that patients with cancer who viewed a video of various goals-of-care options, in addition to a verbal description were more likely to prefer comfort measures and avoid CPR. The study found that these patients were also more knowledgeable regarding advanced care treatment options and felt more certain about their decision compared to patients only hearing a verbal narrative. This article differs from some other studies regarding decision aids since other uses of video decision support tools have focused on helping people make treatment or screening decisions, whereas this video was used to initiate end-of-life discussions. Continue reading
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Tagged cancer, decision aids, end of life, Michael J. Barry, shared decision making
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Provider Tool
View all results of this resource type.Introduction to Shared Decision Making & Decision Aids
An introduction for health care providers on shared decision making and patient decision aids. Continue reading
Informed Medical Decisions Foundation Perspectives
View all results of this resource type.Shared Decision Making & Medical Costs
The strongest argument for shared decision making is that patients have a fundamental right to understand all the reasonable medical options and the arguments for and against each option. Simply put, informing and involving patients in medical decisions is the right thing to do. By being informed and involved, patients have the ability to avoid having surgery that exposes them to risks they do not think are worth the benefits. In addition to those certain benefits, the evidence is also mounting that shared decision making is likely to pay for itself -- and it may well do better than that. Continue reading
Patients Want to be Involved
Imprecisely worded and poorly designed survey questions have caused considerable confusion about the degree to which patients want to be involved in medical decisions. When questions are worded such that patients understand that they are not being asked to make decisions requiring technical clinical information and particularly when respondents have been given basic information about the decision they are facing, survey data are extremely consistent; most patients want to be informed and to play a direct and active role in the decision making process. 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.
[Reuters Health] Most Women with Cancer Want a Role in Decisions
"'I think it's not so surprising that the actual decision making tended to be more doctor-directed than the patients wanted,' said Dr. Michael Barry, president of the Foundation for Informed Medical Decisions Making, who was not involved in this study."Read the full story.
Informed Medical Decisions Foundation Funded Research
View all results of this resource type.Identifying Components of Decision Aid Interventions that Enable Informed Decision Making about Dialysis Modality
This research aims to assess the effectiveness of component parts within patient decision aids (pDAs) on patient’s informed decisions about dialysis modality. Continue reading
Informed Medical Decisions Foundation Demonstration Site
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Stillwater Medical Group
A member of Lakeview Health System, Stillwater Medical Group is a multi-specialty group practice serving Minnesota’s beautiful St. Croix Valley and western Wisconsin. Stillwater Medical Group seeks to provide patient-centered and compassionate care to the tens of thousands of patients the group encounters every year. With the goal of system-wide implementation of shared decision making for a wide variety of conditions, Stillwater Medical Group became a Foundation funded demonstration site in 2009. Stillwater Medical Group is guided by the needs of the patient as they work to create patient-provider partnerships that are effective and personal. Health care providers guide patients in shared decision making to help align treatment options with what is most important to patients. Continue reading
MaineHealth
MaineHealth is a nonprofit, integrated health system providing a range of care from prevention and health maintenance through tertiary services, rehabilitation, chronic care and long-term care. The health system serves three quarters of the state’s population. MaineHealth became a Foundation funded demonstration site in 2009 in order to better achieve its goal of achieving excellence in clinical care, patient safety, education and research. Continue reading
Informed Medical Decisions Foundation Decision Aids
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Choosing Medical Care for the Seriously Ill
When a person has been diagnosed with an advanced chronic condition, plans for future medical care may need to be made in advance. To help people and their family members and loved ones understand the options available, the Foundation has developed a Shared Decision-Making® program called Looking Ahead: Choices for Medical Care When You're Seriously Ill. Continue reading
The Right Health Care for You
Medicine is not one-size-fits-all. In fact, each patient's condition, situation and preferences are different. To help empower people to be fully informed and active participants in their health care, the Foundation has developed a Shared Decision-Making® program called Getting the Healthcare that's Right for You. Continue reading
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