Tag Archives: surgery

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David Arterburn, MD, MPH

Group Health Study Shows the Use of Decision Aids was Linked with Sharply Reduced Rates of Elective Surgery for Arthritis

After introducing video-based decision aids for people with knee and hip osteoarthritis, Group Health Cooperative saw a significant drop in rates of elective knee and hip replacement surgeries, as well as a drop in the cost of care. According to an article in the September issue of Health Affairs, Group Health found that introducing these decision aids resulted in a 38 percent reduction in knee replacement surgeries, a 26 percent reduction in hip replacement surgeries and a 12 percent decline in health care costs over a six month period. Continue reading
Posted in | Tagged arthritis, David Arterburn, decision aids, Group Health, Health Affairs, health care cost, hip osteoarthritis, informed decision, knee osteoarthritis, surgery | Permalink

Shared Decision-Making® Program Research

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Introducing Decision Aids at Group Health was Linked to Sharply Lower Hip and Knee Surgery Rates and Costs

Arterburn D, Wellman R, Westbrook E, et al. Introducing decision aids at Group Health was linked to sharply lower hip and knee surgery rates and costs. Health Aff. 2012 Sept 4;(9):2094-104. Continue reading
Posted in | Tagged arthritis, David Arterburn, decision aids, Group Health, Health Affairs, health care cost, hip osteoarthritis, informed decision, knee osteoarthritis, surgery | Permalink

Featured Shared Decision Making Publications

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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
Posted in | Tagged consent form, Dartmouth-Hitchcock Medical Center, decision aids, decision-making, informed consent, informed decisions, informed patient choice, Medicare, patient-centered care, patients, shared decision making, surgery | Permalink

Introducing Decision Aids at Group Health was Linked to Sharply Lower Hip and Knee Surgery Rates and Costs

An observational study reporting the changes in surgical rates and costs in the first eighteen months following the start of a program to introduce decision aids for hip and knee osteoarthritis in the Group Health system. They found a 38% reduction in knee surgeries and a 26% reduction in hip surgeries; findings consistent with results from randomized studies of decision aids. Continue reading
Posted in | Tagged arthritis, David Arterburn, decision aids, Group Health, Health Affairs, health care cost, hip osteoarthritis, informed decision, knee osteoarthritis, surgery | Permalink

In The News

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[NewsReview] Fewer Doctors Visits, Less Medication

"The overall trend may be due to a shift toward a more conservative health-care attitude as people become more aware of unnecessary procedures and the danger of surgery. 'People are more receptive to conversations about medical interventions having both pros and cons,' said Dr. Michael Barry, president of the Informed Medical Decisions Foundation."
Read the full article.
Tagged health care, medical interventions, medications, Michael J. Barry, surgery, unnecessary procedures | Permalink

[The Boston Globe] Do You Really Need a Knee Replacement?

"Dr. David Arterburn, lead author of the Health Affairs study and a researcher at Group Health Research Institute in Seattle, calls the procedure 'preference-sensitive' because the choice to have one isn't made solely on objective measures. That's where decision aids come in. The goal, he said, is 'to make sure that patients understand that there is more than one option when it comes to osteoarthritis treatment."
The decision aids referenced in this article were developed by the Informed Medical Decisions Foundation. Read the full article.
Tagged arthritis, David Arterburn, decision aids, Group Health, Health Affairs, health care cost, hip osteoarthritis, informed decision, knee osteoarthritis, surgery, The Boston Globe | Permalink