نتایج جستجو برای: shared decision making
تعداد نتایج: 635772 فیلتر نتایج به سال:
Shared decision making relies on the exchange of information between the physician and the patient and the involvement of both patient and physician in making the decision. Informed shared decision making thus requires that patients and doctors understand the benefits and harms of different treatment options. This, however, is severely undermined by what we call collective statistical illiterac...
BACKGROUND Enhancing health literacy can play a major role in improving healthcare and health across the globe. To build higher-order (communicative/critical) health literacy skills among socially disadvantaged Australians, we developed a novel shared decision making (SDM) training programme for adults with lower literacy. The programme was delivered by trained educators within an adult basic e...
Modifying unwarranted variations in health care: shared decision making using patient decision aids.
Shared decision making is the process of interacting with patients in arriving at informed values-based choices when options have features that patients value differently. Patient decision aids (PtDAs) are evidence-based tools designed to facilitate that process. Numerous randomized trials indicate that PtDAs improve decision quality and prevent overuse of options that informed patients do not ...
As the number of individuals with chronic illness increases so has the need for strategies to enable nurses to engage them effectively in daily management of their conditions. Shared decision making between patients and nurses is one approach frequently discussed in the literature. This paper reviews recent studies of shared decision making and the meaning of findings for the nurse-patient rela...
OBJECTIVE Shared decision making is widely recognized to facilitate effective health care. The purpose of this study was to assess the applicability and usefulness of a scale to measure the presence and extent of shared decision making in clinical decisions in psychiatric practice. METHODS A coding scheme assessing shared decision making in general medical settings was adapted to mental healt...
BACKGROUND Shared decision-making is not widely implemented in healthcare. We aimed to set a research agenda about promoting shared decision-making through continuing professional development. METHODS Thirty-six participants met for two days. RESULTS Participants suggested ways to improve an environmental scan that had inventoried 53 shared decision-making training programs from 14 countrie...
OBJECTIVE To investigate the practice, experiences and views of motivated and trained family physicians as they attempt to implement informed and shared decision making (ISDM) in routine practice and to identify and understand the barriers they encounter. BACKGROUND Patient involvement in decision making about their health care has been the focus of much academic activity. Although significan...
OBJECTIVE Partnerships between service users and social workers are complex in nature and can be driven by both personal and contextual circumstances. This study sought to explore the relationship between social workers' involvement in shared decision making with service users, their attitudes towards service users in poverty, moral standards and health and social care organizations' policies t...
BACKGROUND The Institute of Medicine has prioritized shared decision making (SDM), yet little is known about the impact of SDM over time on behavioral outcomes for children. This study examined the longitudinal association of SDM with behavioral impairment among children with special health care needs (CSHCN). METHOD CSHCN aged 5-17 years in the 2002-2006 Medical Expenditure Panel Survey were...
RATIONALE Nonadherence to prescribed medications is a significant barrier to the successful treatment of psychiatric disorders in clinical practice. It has been argued that patient participation in shared decision making improves adherence to treatment plans. PURPOSE To assess to what extent treatment adherence of psychiatric patients is influenced by the concordance between their preferred p...
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