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

Shared decision making (SDM) and patient-centered care require patients to actively participate in the decision-making process. Yet with the increasing number and complexity of cancer treatment options, it can be a challenge for patients to evaluate clinical information and make risk–benefit trade-offs to choose the most appropriate treatment. Clinicians face time constraints and communication challenges, which can further hamper the SDM process. In this article, we review patient decision aids (PDAs) as a means of supporting SDM by presenting clinical information and risk data to patients in a format that is accessible and easy to understand. We outline the benefits and limitations of PDAs as well as the challenges in their development, such as a lengthy and complex development process and implementation obstacles. Lastly, we discuss future trends and how change on multiple levels—PDA developers, clinicians, hospital administrators, and health care insurers—can support the use of PDAs and consequently SDM. Through this multipronged approach, patients can be empowered to take an active role in their health and choose treatments that are in line with their values.

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

The Journal of Law Medicine & Ethics ◽

10.1177/1073110517703097 ◽

2017 ◽

Vol 45 (1) ◽

pp. 12-40 ◽

Cited By ~ 12

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.

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Shared decision-making and the use of patient decision aids

Prescriber ◽

10.1002/psb.1443 ◽

2016 ◽

Vol 27 (3) ◽

pp. 33-35 ◽

Cited By ~ 2

Author(s):

Ben Rehman

Keyword(s):

Decision Making ◽

Shared Decision Making ◽

Decision Aids ◽

Shared Decision ◽

Patient Decision Aids ◽

Patient Decision

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Cultural targeting and tailoring of shared decision making technology: A theoretical framework for improving the effectiveness of patient decision aids in culturally diverse groups

Social Science & Medicine ◽

10.1016/j.socscimed.2014.01.002 ◽

2014 ◽

Vol 105 ◽

pp. 1-8 ◽

Cited By ~ 42

Author(s):

Dana L. Alden ◽

John Friend ◽

Marilyn Schapira ◽

Anne Stiggelbout

Keyword(s):

Decision Making ◽

Shared Decision Making ◽

Culturally Diverse ◽

Decision Aids ◽

Theoretical Framework ◽

Shared Decision ◽

Patient Decision Aids ◽

Patient Decision ◽

Diverse Groups

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Health Decisions and Decision Support for Women

Annual Review of Nursing Research ◽

10.1891/0739-6686.19.1.307 ◽

2001 ◽

Vol 19 (1) ◽

pp. 307-324 ◽

Cited By ~ 7

Author(s):

MARILYN L. ROTHERT ◽

ANNETTE M. O’CONNOR

Keyword(s):

Health Care ◽

Decision Making ◽

Shared Decision Making ◽

Decision Aids ◽

Cochrane Review ◽

Informed Choice ◽

Shared Decision ◽

Patient Decision ◽

Key Issues ◽

Conceptual Overview

Women are more likely to live longer with chronic illness and have a longterm relationship with their health care provider; this requires a situation in which patients and providers have a role in managing illness. In this chapter, the authors provide a conceptual overview of decision making along with key issues: historical concepts related to patients and providers, consumerism, informed choice/consent, patient rights, shared decision making, patient involvement, as well as an overview of models of patient/provider partnerships. This review builds on the work of O’Connor et al. (1999), which resulted in a Cochrane review of decision aids and focuses the examination of patient decision aids that support women’ decisions regarding health treatment or screening. The authors conclude with a look to the future and recommendations for research in the area of shared decision making and health care decision aids.

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