Shared Decision Making for Antidepressants in Primary Care

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Shared Decision Making for Antidepressants in Primary Care: A Cluster Randomized Trial.

IMPORTANCE For antidepressants, the translation of evidence of comparative effectiveness into practice is suboptimal. This deficit directly affects outcomes and quality of care for patients with depression. To overcome this problem, we developed the Depression Medication Choice (DMC) encounter decision aid, designed to help patients and clinicians consider the available antidepressants and the ...

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Professional centred shared decision making: Patient decision aids in practice in primary care

BACKGROUND Patient decision aids are increasingly regarded as important components of clinical practice that enable shared decision making (SDM) and evidence based patient choice. Despite broad acceptance of their value, there remains little evidence of their successful implementation in primary care settings. METHODS Health care practitioners from five general practice surgeries in northern ...

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Effective continuing professional development for translating shared decision making in primary care: A study protocol

BACKGROUND Shared decision making (SDM) is a process by which a healthcare choice is made jointly by the healthcare professional and the patient. SDM is the essential element of patient-centered care, a core concept of primary care. However, SDM is seldom translated into primary practice. Continuing professional development (CPD) is the principal means by which healthcare professionals continue...

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Shared decision making for patients with type 2 diabetes: a randomized trial in primary care

BACKGROUND Patient-centered diabetes care requires shared decision making (SDM). Decision aids promote SDM, but their efficacy in nonacademic and rural primary care clinics is unclear. METHODS We cluster-randomized 10 practices in a concealed fashion to implement either a decision aid (DA) about starting statins or one about choosing antihyperglycemic agents. Each practice served as a control...

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Interprofessional education about shared decision making for patients in primary care settings.

With an increasingly complex array of interventions facing healthcare professionals and patients, coupled with a potentially diverse number of professionals operating within the primary care team, the adoption of shared decision making (SDM) - with or without patients' decision aids - in an interprofessional manner is essential to ensure the highest quality of care for patients. In this article...

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ژورنال

عنوان ژورنال: JAMA Internal Medicine

سال: 2015

ISSN: 2168-6106

DOI: 10.1001/jamainternmed.2015.5214