Implementing shared decision-making in routine practice: barriers and opportunities.
Margaret Holmes-Rovner,Diane Valade,Catherine Orlowski,Catherine Draus,Barbara Nabozny-Valerio,Susan Keiser +5 more
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TLDR
Determine feasibility of shared decision‐making programmes in fee‐for‐service hospital systems including physicians’ offices and in‐patient facilities.Citations
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An integrative model of shared decision making in medical encounters
Gregory Makoul,Marla L. Clayman +1 more
TL;DR: A focused and systematic review of articles that specifically address SDM reveals that there is no shared definition ofSDM and proposes a definition that integrates the extant literature base and outlines essential elements that must be present for patients and providers to engage in the process of SDM.
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Barriers and facilitators to implementing shared decision-making in clinical practice: Update of a systematic review of health professionals’ perceptions
TL;DR: This systematic review update confirms the results of the original review on the barriers and facilitators to implementing shared decision-making in clinical practice as perceived by health professionals.
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Knowledge is not power for patients: A systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making
TL;DR: The results support the view that many patients currently can't participate in SDM, rather than they won't participate because they do not want to, and future implementation efforts should address patient-reported factors together with known clinician-reported barriers and the wider organizational context.
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Implementing shared decision making in the NHS
TL;DR: Creation of a platform of tools to provide information to doctors and patients should be the first step in giving patients choice about their treatment, say Glyn Elwyn and colleagues.
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Barriers and facilitators to implementing shared decision-making in clinical practice: a systematic review of health professionals' perceptions
Karine Gravel,Ian D. Graham +1 more
TL;DR: It is revealed that interventions to foster implementation of shared decision-making in clinical practice will need to address a broad range of factors, and that on this subject there is very little known about any health professionals others than physicians.
References
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Four Models of the Physician-Patient Relationship
TL;DR: Four models of the doctor-patient interaction are outlined, emphasizing the different understandings of the goals of the physicianpatient interaction, the physician's obligations, the role of patient values, and the conception of patient autonomy, which constitute Weberian ideal types.
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Decision aids for patients facing health treatment or screening decisions: systematic review
Annette M. O'Connor,Alaa Rostom,Valerie Fiset,Jacqueline Tetroe,Vikki Entwistle,Hilary A. Llewellyn-Thomas,Margaret Holmes-Rovner,Michael J. Barry,Jean Jones +8 more
TL;DR: In this paper, a systematic review of randomised trials of patient decision aids in improving decision making and outcomes was conducted, which included randomized trials of interventions providing structured, detailed, and specific information on treatment or screening options and outcomes to aid decision making.
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Paternalism or partnership?: Patients have grown up—and there's no going back
TL;DR: The articles assembled in this issue of the BMJ consider the scope for creating meaningful partnerships between doctors and patients and between health policymakers and local communities.
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Physician inpatient order writing on microcomputer workstations. Effects on resource utilization.
William M. Tierney,Michael E. Miller,J. Marc Overhage,Clement J. McDonald,Clement J. McDonald +4 more
TL;DR: A network of microcomputer workstations for writing all inpatient orders significantly lowered patient charges and hospital costs, which would amount to savings of more than $3 million in charges annually for this hospital's medicine service and potentially tens of billions of dollars nationwide.
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Barriers and bridges to evidence based clinical practice
Brian Haynes,Andy Haines +1 more
TL;DR: The prospects for harnessing evidence to improve health care and the problems that readers—clinicians, planners, and patients—will need to overcome to enjoy the benefits of research are discussed.