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About PMID Numbers:
We frequently
utilize a PMID number in place of a citation. Where PMID numbers are available,
enter that number into the PubMed search box to retrieve that citation
and listing.
Evidence-based Information & Decision Aid Examples for Health Care Professionals & Patients—Putting Everyone on the Same Page
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At Patient-Centered Resources: General
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Important
Not all clinical recommendations from other sources
have been reviewed for validity and ours may or may not be uptodate,
so selections below should be viewed as representing examples of approaches
and formats for communications, etc. Feel free to contact us for details.
Read our Health
Care Information Source Cautions at Notices.
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What
matters to Patients?
Here's what we think — click here.
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DelfiniApproach to Patient Decision-making
Studies show that physicians tend to describe decisions to patients,
but tend to exclude describing benefits, harms, risks, costs,
uncertainties and alternatives. Patient-centered care is about
choice. Physicians need to be prepared to discuss all these areas
with patients.
Studies also show that patients have individual preferences for decision styles depending upon their unique circumstances. These styles are autonomous, physician-directed and shared. Autonomous decision-making is performed solely by the patient. Physician-directed means the physician chooses. Shared decision-making is jointly performed by physicians and patients. Patient-centered care involves the patient in deciding which decision style to use, based on that patient's own needs, values and preferences.
Physicians may wish to favor a more prescriptive style where the evidence is strong. Shared-decision making is often most optimal where there are uncertainties and/or equally reasonable alternatives.
Patient choice is at the heart of patient-centered care: Patient Decision-making Model
How you communicate the differences in treatment choices in patients hugely matters. Studies show an acceptance rate of 88% to 31%! Click here to learn more about estimates of effect.
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Physician-Patient Communications (see also Delfini "Patient Encounter Map" for Information & Engagement)
Beck RS, Daughtridge
R, Sloane PD.
Physician-Patient Communication in the Primary Care
Office: A Systematic Review.
JABFP 2002. 15:25-38. The Journal of the American Board of Family
Practice. PMID: 11841136. Abstract.
Delfini commentary here.
Hall JA; Roter
DL; Katz NR.
Meta-analysis of correlates of provider behavior in
medical encounters.
Medical Care;1988, 26:657-675. PMID: 3292851. Abstract.
Stewart MA.
Effective Physician-Patient Communication and Health
Outcomes: A Review
CMAJ 1995.152:1423-1433. PMID: 7728691. Abstract. Delfini commentary here.
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Epstein RM, Alper
BS, Quill TE.
Communicating evidence for participatory decision making.
JAMA. 2004 May 19;291(19):2359-66. Review. PMID: 15150208. Abstract.
Say R, Thomson
R.
The importance of patient preferences in treatment decisions
— challenges for doctors.
BMJ. 2003 Sep 6;327(7414):542-5 Full
text. Delfini commentary here.
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Conveying Risk (see also Delfini Rx Messaging Scripts™ here )
Gigerenzer G, Edwards
A.
Simple tools for understanding risks: from innumeracy
to insight.
BMJ. 2003 Sep 27;327(7417):741-4.
PMID: 14512488. Full
text.
Paling J.
Strategies to help patients understand risks.
BMJ. 2003 Sep 27;327(7417):745-8. PMID: 14512489. Full
text.
O'Connor AM, Legare F, Stacey D.
Risk communication in practice: the contribution of
decision aids.
BMJ. 2003 Sep 27;327(7417):736-40. PMID: 14512487. Full
text.
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McDonald HP, Garg
AX, Haynes RB.
Interventions to enhance patient adherence to medication
prescriptions: scientific review.
Health Research Methodology Program, McMaster University School
of Graduate Studies, Hamilton, Ontario, Canada. JAMA 2002 Dec
11;288(22):2868-79 PMID: 15139471. Abstract.
Delfini commentary here.
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