BACKGROUND Decision aids based on the philosophy of shared decision making are designed to help patients make informed choices among diagnostic or treatment options by delivering evidence-based information on options and outcomes. A patient decision aid can be regarded as a complex intervention because it consists of several presumably relevant components. Decision aids have rarely been field t...

Evidence-based medicine integrates clinical experience with patients’ values and the best available evidence. In the past, clinicians took responsibility not only for being well informed about the benefits and harms of medical options but also for judging their value in the best interests of the patients. More recently, a shared decision making approach has been advocated in which patients are ...

The quality and cost of medical care is determined in large part by the decisions that clinicians and patients make every day about seeking care, having tests, starting treatments, and stopping treatments. There are situations in medicine in which a treatment or approach has considerable evidence of significant benefit with minimal or no harm. High-quality decisions in these situations are abou...

OBJECTIVE Shared decision-making and the use of decision aids are increasingly promoted in various healthcare settings. The extent of their current use and potential in rehabilitation medicine is unknown. The aim of the present study was to explore the barriers to and facilitators of shared decision-making and use of decision aids in daily practice, and to explore the perceptions of physical an...

know about the risks of the procedure. Do the benefits outweigh the risks? Jurors in states with the reasonablepatient standard can ask themselves, “Would I have wanted to know about this risk?” “Would it have affected my decision making?” Drs Drolet and Brower also express concerns about operationalizing the reasonable-patient standard. They argue that each patient’s informational needs are un...

BACKGROUND Patients and clinicians expect patient decision aids to be based on the best available research evidence. Since 2005, this expectation has translated into a quality dimension of the International Patient Decision Aid Standards. METHODS We reviewed the 2005 standards and the available literature on the evidence base of decision aids as well as searched for parallel activities in whi...

OBJECTIVE To systematically review the literature regarding the effects of menopausal symptom management decision aids. METHODS Using pre-designated inclusion and exclusion criteria, relevant articles were located using the PubMed.gov online search engine and reviewing reference lists of relevant articles. Full-text, English-language, peer-reviewed articles relevant to testing decision aids i...

BACKGROUND Decision aids are evidence based tools that assist patients in making informed values-based choices and supplement the patient-clinician interaction. While there is evidence to show that decision aids improve key indicators of patients' decision quality, relatively little is known about physicians' acceptance of decision aids or factors that influence their decision to use them. The ...