scholarly journals Shared decision-making and the use of patient decision aids

Prescriber ◽  
2016 ◽  
Vol 27 (3) ◽  
pp. 33-35 ◽  
Author(s):  
Ben Rehman
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Decision Aids ◽  
Shared Decision ◽  
Patient Decision Aids ◽  
Patient Decision

Certified Patient Decision Aids: Solving Persistent Problems with Informed Consent Law

2017 ◽  
Vol 45 (1) ◽  
pp. 12-40 ◽  
Author(s):  
Thaddeus Mason Pope
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Medical Treatment ◽  
Shared Decision Making ◽  
Decision Aids ◽  
Shared Decision ◽  
Legal Doctrine ◽  
Patient Decision Aids ◽  
Patient Decision ◽  
Decision Making Processes

The legal doctrine of informed consent has overwhelmingly failed to assure that the medical treatment patients get is the treatment patients want. This Article describes and defends an ongoing shift toward shared decision making processes incorporating the use of certified patient decision aids.

A Review of Shared Decision-Making and Patient Decision Aids in Radiation Oncology

2017 ◽  
Vol 32 (2) ◽  
pp. 238-245 ◽  
Author(s):  
Kristina Demas Woodhouse ◽  
Katie Tremont ◽  
Anil Vachani ◽  
Marilyn M. Schapira ◽  
Neha Vapiwala ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Radiation Oncology ◽  
Decision Aids ◽  
Shared Decision ◽  
Patient Decision Aids ◽  
Patient Decision

Modifying Unwarranted Variations In Health Care: Shared Decision Making Using Patient Decision Aids

2004 ◽  
Vol 23 (Suppl2) ◽  
pp. VAR-63-VAR-72 ◽  
Author(s):  
Annette M. O'Connor ◽  
Hilary A. Llewellyn-Thomas ◽  
Ann Barry Flood
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Shared Decision Making ◽  
Decision Aids ◽  
Shared Decision ◽  
Patient Decision Aids ◽  
Patient Decision

Shared decision-making attitudes and practices in multidisciplinary cancer care teams.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 180-180
Author(s):  
Christina Mangir ◽  
Leigh Boehmer ◽  
Sandra E. Kurtin ◽  
Lalan S. Wilfong ◽  
Rena Kass ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Literacy ◽  
Shared Decision Making ◽  
Multidisciplinary Team ◽  
Decision Aids ◽  
Shared Decision ◽  
Patient Decision Aids ◽  
Attitudes And Practices ◽  
Patient Decision ◽  
Wide Range

180 Background: Patients who engage in decision making are more likely to experience confidence in treatment decisions, satisfaction with treatment, and trust in clinicians. The Association of Community Cancer Centers (ACCC) conducted a survey to explore multidisciplinary team attitudes and practices around shared decision-making (SDM) and health literacy. Methods: ACCC convened a steering committee of multidisciplinary specialists and advocacy representatives to guide this research. The survey included 26 mostly closed-ended questions and was open to multidisciplinary cancer programs from 10/29/19 to 2/20/20. Exploratory analysis was performed on this data set of 305 complete responses. Results: While most respondents reported engaging patients in decision-making to some degree, only 50% reported that SDM is a top organizational priority. 33% reported organizational efforts to formally integrate SDM into the clinical workflow, with only 15% indicating staff opportunities for basic SDM training. The three most frequently cited perceived barriers to engaging in SDM were patients feeling overwhelmed (53%), wanting to defer decisions to clinicians (46%), and having limited health literacy (46%). Only 13% indicated that lack of time was a barrier. Less than half (41%) of respondents reported using patient decision aids to support SDM. Respondents represented a wide range of multidisciplinary team members, though surgical oncologists and general surgeons (20% and 16% respectively) are overrepresented in the results. Conclusions: SDM is commonly accepted as essential to patient engagement but clarity in terminology and prioritizing formal integration of SDM into practice is limited. Strategies to improve integration of SDM into oncology practice should include: 1) Educational initiatives and tools to overcome barriers to SDM, including patient decision aids and SDM training, 2) Initiatives to address health literacy as it relates to patient and caregiver engagement in decision making, 3) Psychosocial support for patients whose emotional upset is a barrier to SDM, 4) Healthcare policies that encourage and incentive providers to engage in SDM. Future analyses will require concurrent assessment of patient, caregiver, healthcare professional, and administrator perspectives.

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