Author
Emma Cording
Bio: Emma Cording is an academic researcher from Cardiff University. The author has contributed to research in topics: Patient participation & Decision support system. The author has an hindex of 2, co-authored 2 publications receiving 2251 citations.
Papers
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TL;DR: A model of how to do shared decision making that is based on choice, option and decision talk is proposed that is practical, easy to remember, and can act as a guide to skill development.
Abstract: The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. The model has three steps: a) introducing choice, b) describing options, often by integrating the use of patient decision support, and c) helping patients explore preferences and make decisions. This model rests on supporting a process of deliberation, and on understanding that decisions should be influenced by exploring and respecting “what matters most” to patients as individuals, and that this exploration in turn depends on them developing informed preferences.
2,596 citations
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TL;DR: Using Option Grids made options more visible and clinicians found it easier to undertake shared decision making when these tools were available, and reported a 'handover' effect, where patient involvement in decision making was enhanced.
260 citations
Cited by
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TL;DR: The Task Force for the management of atrial fibrillation of the European Society of Cardiology has been endorsed by the European Stroke Organisation (ESO).
Abstract: The Task Force for the management of atrial fibrillation of the European Society of Cardiology (ESC)
Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC
Endorsed by the European Stroke Organisation (ESO)
5,255 citations
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4,960 citations
01 Jan 2017
3,603 citations
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SUNY Downstate Medical Center1, Harvard University2, Virginia Mason Medical Center3, Pomona College4, American Academy of Family Physicians5, Cincinnati Children's Hospital Medical Center6, University of Virginia Health System7, Boston Children's Hospital8, University of Texas Southwestern Medical Center9, Washington University in St. Louis10
TL;DR: In this paper, the authors provide evidence-based recommendations to manage Otitis Media with effusion (OME), defined as the presence of fluid in the middle ear without signs or symptoms of acute ear infection.
Abstract: ObjectiveThis update of a 2004 guideline codeveloped by the American Academy of Otolaryngology—Head and Neck Surgery Foundation, the American Academy of Pediatrics, and the American Academy of Family Physicians, provides evidence-based recommendations to manage otitis media with effusion (OME), defined as the presence of fluid in the middle ear without signs or symptoms of acute ear infection. Changes from the prior guideline include consumer advocates added to the update group, evidence from 4 new clinical practice guidelines, 20 new systematic reviews, and 49 randomized control trials, enhanced emphasis on patient education and shared decision making, a new algorithm to clarify action statement relationships, and new and expanded recommendations for the diagnosis and management of OME.PurposeThe purpose of this multidisciplinary guideline is to identify quality improvement opportunities in managing OME and to create explicit and actionable recommendations to implement these opportunities in clinical pra...
1,744 citations
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TL;DR: A preliminary agenda for the evidence based medicine movement’s renaissance is offered, refocusing on providing useable evidence that can be combined with context and professional expertise so that individual patients get optimal treatment.
Abstract: Trisha Greenhalgh and colleagues argue that, although evidence based medicine has had many benefits, it has also had some negative unintended consequences. They offer a preliminary agenda for the movement’s renaissance, refocusing on providing useable evidence that can be combined with context and professional expertise so that individual patients get optimal treatment
1,405 citations